Understanding for whom, why and in what circumstances payment for performance works in low and middle income countries: protocol for a realist review.
Understanding for whom, why and in what circumstances payment for performance works in low and middle income countries: protocol for a realist review.
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DOI：
10.1136/bmjgh-2017-000695
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发表时间：
2018
影响因子：
8.1
通讯作者：
Kristensen S
中科院分区：
文献类型：
--
作者：
Borghi J;Singh NS;Brown G;Anselmi L;Kristensen S
许多低收入和中等收入国家（LMIC）正在实施按绩效付费（P4P）计划，以加强卫生系统，并在实现全民健康覆盖方面取得进展。一些系统性审查考虑了采购换进展的有效性，但没有探讨采购换进展如何在不同环境中发挥作用，以改善成果或阐明方案效果的途径或机制。本研究将进行一个现实主义的审查，以调查如何，为什么以及在什么情况下P4P导致预期和非预期的结果在LMIC。我们的搜索是由机制的初始程序理论指导，并涉及Medline，Embase，Popline，Business Source Premier，Emerald Insight和EconLit数据库的系统搜索，以研究LMIC中的P4P和健康。纳入和排除标准确定与初始计划理论和支持审查的研究问题相关的文献。保留的证据将用于测试、修订或完善方案理论，并查明知识差距。将通过审查背景、机制以及预期和非预期结果之间的关系来询问证据，以确定什么对谁、在什么背景下以及为什么有效。通过综合目前关于P4P如何影响卫生系统以在不同背景下产生成果以及方案设计在多大程度上影响这一点的知识，我们将为更有效的P4P方案提供信息，以加强卫生系统并实现可持续的服务提供和健康影响。
Many low and middle income countries (LMIC) are implementing payment for performance (P4P) schemes to strengthen health systems and make progress towards universal health coverage. A number of systematic reviews have considered P4P effectiveness but did not explore how P4P works in different settings to improve outcomes or shed light on pathways or mechanisms of programme effect. This research will undertake a realist review to investigate how, why and in what circumstances P4P leads to intended and unintended outcomes in LMIC. Our search was guided by an initial programme theory of mechanisms and involved a systematic search of Medline, Embase, Popline, Business Source Premier, Emerald Insight and EconLit databases for studies on P4P and health in LMIC. Inclusion and exclusion criteria identify literature that is relevant to the initial programme theory and the research questions underpinning the review. Retained evidence will be used to test, revise or refine the programme theory and identify knowledge gaps. The evidence will be interrogated by examining the relationship between context, mechanisms and intended and unintended outcomes to establish what works for who, in which contexts and why. By synthesising current knowledge on how P4P affects health systems to produce outcomes in different contexts and to what extent the programme design affects this, we will inform more effective P4P programmes to strengthen health systems and achieve sustainable service delivery and health impacts.
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DOI：
10.1186/s13012-016-0540-1
发表时间：
2017-02-02
期刊：
Implementation science : IS
影响因子：
--
作者：
Anselmi L;Binyaruka P;Borghi J
通讯作者：
Borghi J
影响因子：
2.8
作者：
Bertone, Maria Paola;Lagarde, Mylene;Witter, Sophie
通讯作者：
Witter, Sophie
影响因子：
3.2
作者：
Bertone, Maria Paola;Meessen, Bruno
通讯作者：
Meessen, Bruno
影响因子：
4.5
作者：
Das A;Gopalan SS;Chandramohan D
通讯作者：
Chandramohan D
影响因子：
10.8
作者：
Chimhutu, Victor;Songstad, Nils Gunnar;Moland, Karen Marie
通讯作者：
Moland, Karen Marie