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240814s2022 dcua ob i000 0 eng |
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|b eng
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|a 9918881184006676
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|a 9781464818479
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|a 1464818479
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|z 9781464818257
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|a 1464818797
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|a 10.1596/978-1-4648-1825-7
|2 doi
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|a (OCoLC)1323252898
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|a pcc
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|a RA971.3
|b .W35 2022
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|a HCDD
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|a Walque, Damien de,
|e author.
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|a Improving effective coverage in health :
|b do financial incentives work? /
|c Damien de Walque, Eeshani Kandpal, Adam Wagstaff, Jed Friedman, Sven Neelsen, Moritz Piatti-Fünfkirchen, Anja Sautmann, Gil Shapira, and Ellen Van de Poel.
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|a Washington, DC :
|b World Bank Group,
|c [2022]
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|a 1 online resource (1 PDF file (lii, 235 pages)) :
|b illustrations.
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|a text
|b txt
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|a computer
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|2 rdamedia
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|a online resource
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|a Policy research report
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|a Includes bibliographical references.
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|a In many low- and middle-income countries, health coverage has improved dramatically in the last two decades, but health outcomes have not. As such, effective coverage -- a measure of service delivery that meets a minimum standard of quality -- remains unacceptably low. This Policy Research Report examines one specific policy approach to improving effective coverage: financial incentives in the form of performance-based financing (PBF) or financial incentives to health workers on the front lines. The report draws on a rich set of rigorous studies and new analysis. When compared to business-as-usual, in low-income settings with centralized health systems PBF can result in substantial gains in effective coverage. However, the relative benefits of PBF are less clear when it is compared to two alternative approaches, decentralized facility financing which provides operating budget to frontline health services with facility autonomy on allocation, and demand-side financial support for health services (i.e., conditional cash transfers and vouchers). While PBF often results in improvements on the margins, closing the substantial gaps in effective health coverage is not yet within reach for many countries. Nonetheless, there are important lessons learned and experiences from the roll-out of PBF over the last decade which can guide health policies into the future.
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|a Description based on online resource; title from PDF title page (viewed on August 22, 2024).
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|a Front Cover -- Contents -- Foreword -- Acknowledgments -- About the Authors -- Overview -- Abbreviations -- Chapter 1 Introduction -- Introduction -- Conclusions -- References -- Chapter 2 Effective Coverage: A Framework Linking Coverage and Quality -- Introduction -- Coverage, quality, and effective coverage -- Empirical applications -- Expanding the work on effective coverage by using data collected in health facilities -- Conclusions -- Notes -- References -- Chapter 3 Quality of Care: A Framework for Measurement -- Introduction -- Theoretical framework for assessing quality of care
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|a Measuring quality of care for research and policy -- Conclusions -- Notes -- References -- Chapter 4 Decomposing the Constraints to Quality of Care Using Data on Antenatal Care Consultations from Five Sub-Saharan African Countries -- Introduction -- Why antenatal care? -- Data -- Results -- Conclusions -- Annex 4A: Additional tables and figures -- Annex 4B: Data -- References -- Chapter 5 Performance-Based Financing Improves Coverage of Reproductive, Maternal, and Child Health Interventions -- Introduction -- PBF, health system performance, and health worker effort in theory
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|a Evidence of the impact of PBF on the quality and quantity of health service delivery in LMICs -- Impact of PBF on health worker motivation and satisfaction in six countries -- Results -- PBF, quality of care, and idle capacity -- Conclusions -- Notes -- References -- Chapter 6 Policy Alternatives to Performance-Based Financing -- Introduction -- Systematic review and meta-analysis of demand- and supply-side financial incentives -- Comparing the PBF and DFF approaches -- PBF, DFF, and institutional deliveries -- PBF, DFF, and baseline effort -- Complementarities in the PBF and DFF approaches
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|a Discussion and conclusions -- Annex 6A: Additional tables -- Notes -- References -- Chapter 7 Performance-Based Financing as a Health System Reform and Cautionary Evidence on Performance Pay and Irrelevant Care -- Introduction -- Provision of nonindicated treatment in the context of financial incentives -- PBF as a health system reform -- Conclusion -- Notes -- References -- Chapter 8 Conclusion and Operational Implications -- Message 1: Recognize that sustainability is about more than just money -- Message 2: Support the four facility financing tenets
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|a Message 3: Understand PBF incentives in a broader health system context -- Message 4: Explore opportunities of maturing technologies -- Building a forward-looking research agenda -- References -- Boxes -- Box O.1 In Focus: Action items for task teams working on health financing reform -- Box 1.1 In Focus: A short history of performance-based financing and the related evaluation agenda -- Box 3.1 In Focus: Identifying misuse of care: A case study of malaria treatment in Mali -- Box 3.2 In Focus: Measuring quality of care and provider effort in antenatal and maternal care -- Box 4.1 In Focus: Exploring the drivers of variation in the content of care.
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|a Managed care plans (Medical care)
|x Finance.
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|a Health facilities
|x Finance.
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|a Merit pay.
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|a Health facilities
|x Finance
|2 fast
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| 650 |
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|a Managed care plans (Medical care)
|x Finance
|2 fast
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|a Merit pay
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|a World Bank Group,
|e issuing body.
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|i Print version:
|a De Walque, Damien.
|t Improving Effective Coverage in Health.
|d : World Bank Publications, ©2022
|z 9781464818257
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| 830 |
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|a Policy research report (World Bank Group)
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| 856 |
4 |
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|u https://ebookcentral.proquest.com/lib/holycrosscollege-ebooks/detail.action?docID=29281309
|y Click for online access
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|a EBC-AC
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|a 92
|b HCD
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