managing for results; low- and middle income countries; performance-based financing
Abstract :
[en] Whereas performance‐based financing (PBF) is now developing fast in the health sector in low‐ and middle‐income countries and is presented an innovative approach—concomitantly, subject to a separate research stream—it sharesmany features of the “managing for results” (MfR) and performance‐based budgeting (PBB) currents that have existed for decades. In this paper, we first argue that PBF as currently developed in the health sector in low‐ and middle‐income countries shares many features and thus can be viewed as an avatar of MfR andmore precisely PBB. Secondly,we draw lessons from the literature on MfR and PBB so as to (1) better apprehend PBF conceptually and (2) avoid pitfalls and better design PBF schemes in practice. We argue that the lessons from the theoretical and empirical literature on MfR and PBB offer interesting insights to feed into a “theory of change” of PBF, enabling to analyse critical aspects and better design PBF schemes. Moreover, it is hoped that just like MfR processes have been demonstrated as having the potential to boost individual performance not only through links with financial incentives but also through acting on other sources of motivation, one can demonstrate more accurately by which mechanisms the various elements of the PBF package can help improve health sector results.
Disciplines :
Economic systems & public economics Public health, health care sciences & services General management, entrepreneurship & organizational theory Human resources management
Author, co-author :
Paul, Elisabeth ; Université de Liège > Faculté des sciences sociales > Economie politique et économie de la santé
Renmans, Dimitri
Language :
English
Title :
Performance-Based Financing in the heath sector in low- and middle-income countries: Is there anything whereof it may be said, See, this is new?
Publication date :
2018
Journal title :
International Journal of Health Planning and Management
ISSN :
0749-6753
eISSN :
1099-1751
Publisher :
Wiley Online
Volume :
33
Issue :
1
Pages :
51-66
Peer reviewed :
Peer Reviewed verified by ORBi
Name of the research project :
ARC Effi-Santé
Funders :
Fédération Wallonie-Bruxelles - Actions de recherche concertées
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