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Provider payment in community-based health insurance schemes in developing countries: a systematic review.


ABSTRACT:

Objectives

Community-based health insurance (CBI) is a common mechanism to generate financial resources for health care in developing countries. We review for the first time provider payment methods used in CBI in developing countries and their impact on CBI performance.

Methods

We conducted a systematic review of the literature on provider payment methods used by CBI in developing countries published up to January 2010.

Results

Information on provider payment was available for a total of 32 CBI schemes in 34 reviewed publications: 17 schemes in South Asia, 10 in sub-Saharan Africa, 4 in East Asia and 1 in Latin America. Various types of provider payment were applied by the CBI schemes: 17 used fee-for-service, 12 used salaries, 9 applied a coverage ceiling, 7 used ca

SUBMITTER: Robyn PJ 

PROVIDER: S-EPMC3584992 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature