Performance bonuses and the quality of primary health care delivered by family health teams in Brazil: A difference-in-differences analysis.

ABSTRACT:

Background

Pay-for-performance (P4P) programmes to incentivise health providers to improve quality of care have been widely implemented globally. Despite intuitive appeal, evidence on the effectiveness of P4P is mixed, potentially due to differences in how schemes are designed. We exploited municipality variation in the design features of Brazil's National Programme for Improving Primary Care Access and Quality (PMAQ) to examine whether performance bonuses given to family health team workers were associated with changes in the quality of care and whether the size of bonus mattered.

Methods and findings

For this quasi-experimental study, we used a difference-in-differences approach combined with matching. We compared changes over time in the quality of care delivered by famil

SUBMITTER: Fardousi N 

PROVIDER: S-EPMC9262241 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature