Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?
Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?
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DOI：
10.2471/blt.10.077339
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发表时间：
2011-02-01
期刊：
影响因子：
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通讯作者：
Sekabaraga, Claude
中科院分区：
文献类型：
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作者：
Meessen, Bruno;Soucat, Agnès;Sekabaraga, Claude
基于绩效的融资正在引发激烈的辩论。有些人认为，这可能是捐助者的一时兴起，改善服务提供的潜力有限。大多数批评者认为它仅仅是一种供应商支付机制。我们的经验是，基于业绩的筹资可以促进全面改革，并有助于解决公共卫生服务的结构性问题，如反应迟钝、效率低下和不公平。非洲出现的基于业绩的筹资运动表明，这可能有助于深刻改变低收入国家的公共部门。
Performance-based financing is generating a heated debate. Some suggest that it may be a donor fad with limited potential to improve service delivery. Most of its critics view it solely as a provider payment mechanism. Our experience is that performance-based financing can catalyse comprehensive reforms and help address structural problems of public health services, such as low responsiveness, inefficiency and inequity. The emergence of a performance-based financing movement in Africa suggests that it may contribute to profoundly transforming the public sectors of low-income countries.