From Scheme to System (Part 1): Notes on Conceptual and Methodological Innovations in the Multicountry Research Program on Scaling Up Results-Based Financing in Health Systems
From Scheme to System (Part 1): Notes on Conceptual and Methodological Innovations in the Multicountry Research Program on Scaling Up Results-Based Financing in Health Systems
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DOI：
10.1080/23288604.2017.1303561
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发表时间：
2017-01-01
影响因子：
4.1
通讯作者：
Bigdeli, Maryam
中科院分区：
文献类型：
--
作者：
Meessen, Bruno;Shroff, Zubin Cyrus;Bigdeli, Maryam
本文介绍了概念和方法的发展，在分析规模的基于结果的融资（RBF）的一部分，由卫生政策和系统研究联盟支持的多国研究计划。在简要概述了研究过程之后，本文提出了一个新的五维概念化的规模扩大（人口覆盖率，服务覆盖率，卫生系统整合，跨部门扩散和知识扩展），以捕捉RBF规模扩大的各个方面。它还介绍了沃尔特和吉尔森的卫生政策三角框架是如何修改，以确定推动因素和障碍，以扩大在国家案例研究包括在本研究计划。本文提出了一个四阶段的规模扩大模型，包括阶段的生成，采用，制度化，和扩展，开发本研究计划的目的。文章最后提供了一些经验教训的方法和理论框架的使用开发这个多国研究计划。
This article presents conceptual and methodological developments made in analyzing the scale up of results-based financing (RBF) as part of a multicountry research program supported by the Alliance for Health Policy and Systems Research. Following a brief overview of the research process, the article proposes a new five-dimensional conceptualization of scale-up (population coverage, service coverage, health system integration, cross-sectoral diffusion, and knowledge expansion) to capture various facets of RBF scale-up. It also presents how Walt and Gilson's health policy triangle framework was modified to identify the enablers and barriers to scale-up in the country case studies included in this research program. The article then puts forth a four-phase model of scale-up, including phases of generation, adoption, institutionalization, and expansion, developed for the purpose of this research program. The article concludes by providing some lessons learned on the use of the methods and theoretical frameworks developed for this multicountry research program.