Incentives and provider payment methods
Int. J. Hlth. Plann. Mgmt
; 10(1): 23-45, Jan.-Mar. 1995. ilus
Article
en En
| CidSaude
| ID: cid-57886
Biblioteca responsable:
BR67.1
Ubicación: BR67.1
ABSTRACT
The mode of payment creates powerful incentives affecting provider behavior and the efficiency, equity and quality outcomes of health finance reforms. This article examines provider incentives as well as administrative costs, and institutional conditions for successful implementation associated with provider payment alternatives. The alternatives considered are budget reforms, capitation, fee-for-service, and case-based reimbursement. We conclude that competition, whether through a regulated private sector or within a public system, has the potential to improve the performance of any payment method. All methods generate both adverse and beneficial incentives. Systems with mixed forms of provider payment can provide tradeoffs to offset the disadvantages of individual modes. Low-income countries should avoid complex payment systems requiring higher levels of institutional development.(AU)
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Colección:
05-specialized
Base de datos:
CidSaude
Asunto principal:
Reforma de la Atención de Salud
/
Planes de Aranceles por Servicios
Tipo de estudio:
Guideline
Aspecto:
Equity_inequality
Idioma:
En
Revista:
Int. J. Hlth. Plann. Mgmt
Año:
1995
Tipo del documento:
Article