000 02494nam a22003137a 4500
001 000005583
041 _aeng
100 _918180
_aEldridge, Cynthia
245 _aPerformance-based payment
_bsome reflections on the discourse, evidence and unanswered questions
264 _aOxford
_bOxford University
_c2009
300 _a7 páginas
505 _aIntroduction -- Methodology -- Results -- Discussion -- Conclusion
520 _aPerformance-based payment (PBP) is increasingly advocated as a way to improve the performance of health systems in low-income countries. This study conducted a systematic review of the current literature on this topic and found that while it is a popular term, there was little consensus about the meaning or the use of the concept of PBP. Significant weaknesses in the current evidence base on the success of PBP initiatives were also found. The literature would be strengthened by multi-disciplinary case studies that present both the advantages and disadvantages of PBP, influential factors for success, and more details about the projects from which this evidence is drawn. Where possible, data from control facilities where PBP is not being implemented would be an important addition. This paper suggests a further agenda for research, including assessing optimal conditions for implementation of PBP schemes in less developed health systems, the impact of adopting measures of performance as targets, and the requirements for monitoring PBP adequately.
650 _918181
_aPAÍSES EN DESARROLLO
650 0 _aALTOS DIRECTIVOS PÚBLICOS
_vMANUAL
_918180
650 0 _aINDUCCIÓN DE PERSONAL
_918183
650 _918184
_aSALARIOS
650 _918186
_aMETODOLOGÍA DE LA INVESTIGACIÓN
650 0 _aREMUNERACIONES
_9720
650 _918188
_aSECTOR PÚBLICO
650 0 _aCONVENIOS COLECTIVOS
_918189
650 _918190
_aRELACIONES LABORALES
650 0 _aIGUALDAD DE GÉNERO
_915702
651 _918191
_aMALAUI
651 _95074
_aREINO UNIDO DE GRAN BRETAÑA
700 _918192
_aPalmer, Natasha
773 _dOxford : Oxford University
_g2009. Número 24, p. 160-166
_tHealth Policy and Planning
856 _uhttp://heapol.oxfordjournals.org/content/24/3/160.full.pdf+html
999 _c2048
_d2048