Using provider performance incentives to increase HIV testing and counseling services in Rwanda
Using provider performance incentives to increase HIV testing and counseling services in Rwanda
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DOI：
10.1016/j.jhealeco.2014.12.001
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发表时间：
2015-03-01
影响因子：
3.5
通讯作者：
Condo, Jeanine
中科院分区：
文献类型：
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作者：
de Walque, Damien;Gertler, Paul J.;Condo, Jeanine
按绩效付费向医疗服务提供者提供财政奖励，以表彰其利用和护理质量指标衡量的绩效改善。2006年，卢旺达开始实施按绩效付费计划，以改善保健服务的提供，包括艾滋病毒/艾滋病服务。采用前瞻性准实验设计，本研究考察了该方案对个人和夫妇艾滋病毒检测的影响。我们发现，绩效工资对已婚人士的艾滋病毒检测产生了积极影响（增加了10.2个百分点）。在只有一方是艾滋病患者的不和谐夫妻中，为表现付费还使双方的检测率提高了14.7个百分点。(C) 2014年Elsevier B.V.出版
Paying for performance provides financial rewards to medical care providers for improvements in performance measured by utilization and quality of care indicators. In 2006, Rwanda began a pay for performance scheme to improve health services delivery, including HIV/AIDS services. Using a prospective quasi-experimental design, this study examines the scheme's impact on individual and couples HIV testing. We find a positive impact of pay for performance on HIV testing among married individuals (10.2 percentage points increase). Paying for performance also increased testing by both partners by 14.7 percentage point among discordant couples in which only one of the partners is an AIDS patient. (C) 2014 Published by Elsevier B.V.