How are pay-for-performance schemes in healthcare designed in low- and middle-income countries? Typology and systematic literature review.

ABSTRACT:

Background

Pay for performance (P4P) schemes provide financial incentives to health workers or facilities based on the achievement of pre-specified performance targets and have been widely implemented in health systems across low and middle-income countries (LMICs). The growing evidence base on P4P highlights that (i) there is substantial variation in the effect of P4P schemes on outcomes and (ii) there appears to be heterogeneity in incentive design. Even though scheme design is likely a key determinant of scheme effectiveness, we currently lack systematic evidence on how P4P schemes are designed in LMICs.

Methods

We develop a typology to classify the design of P4P schemes in LMICs, which highlights different design features that are a priori likely to affect the behaviour

SUBMITTER: Kovacs RJ 

PROVIDER: S-EPMC7137308 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature