What characteristics of provider payment mechanisms influence health care providers' behaviour? A literature review.
What characteristics of provider payment mechanisms influence health care providers' behaviour? A literature review.
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DOI：
10.1002/hpm.2565
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Chuma J
中科院分区：
文献类型：
--
作者：
Kazungu JS;Barasa EW;Obadha M;Chuma J
提供者支付机制 (PPM) 产生影响医疗保健提供者行为的激励或信号。了解影响医疗保健提供者行为的 PPM 特征对于调整 PPM 改革以改善医疗保健服务的可及性、质量和效率至关重要。我们回顾了实证文献，研究了影响医疗保健提供者行为的 PPM 的特征。我们在 PubMed、Web of Science 和 Google Scholar 数据库中系统地检索了实证文献，并通过对选定论文的参考文献进行物理检索来补充这些文献，以进行进一步的相关研究。总共确定了 16 项符合我们的纳入和排除标准的研究。我们使用专题审查来分析数据。我们确定了影响医疗保健提供者行为的 PPM 的七个主要特征。在这些特征中，支付率、支付率是否足以支付服务成本、支付及时性、支付时间表、绩效要求和问责机制是最重要的。我们的审查发现，医疗保健提供者的行为受到 PPM 特征的影响。优化构建这些特征的医疗保健提供者支付机制改革可以激发医疗保健提供者在提供服务的机会、公平、质量和效率方面所需的激励，以实现全民健康覆盖。
Provider payment mechanisms (PPMs) create incentives or signals that influence the behaviour of health care providers. Understanding the characteristics of PPMs that influence health care providers’ behaviour is essential for aligning PPM reforms for improving access, quality, and efficiency of health care services. We reviewed empirical literature that examined the characteristics of PPMs that influence the behaviour of health care providers. We systematically searched for empirical literature in PubMed, Web of Science, and Google Scholar databases and complemented these with physical searching of the references of selected papers for further relevant studies. A total of 16 studies that met our inclusion and exclusion criteria were identified. We analysed data using thematic review. We identified seven major characteristics of PPMs that influence health care providers’ behaviour. Of these characteristics, payment rate, the sufficiency of payment rate to cover the cost of services, timeliness of payment, payment schedule, performance requirements, and accountability mechanisms were the most important. Our review found that health care providers’ behaviour is influenced by the characteristics of PPMs.Provider payment mechanism reforms that optimally structure these characteristics can elicit required incentives for access, equity, quality, and efficiency in service delivery among health care providers towards achieving universal health coverage.
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影响因子：
3.3
作者：
Agyepong, Irene Akua;Nagai, Richard A.
通讯作者：
Nagai, Richard A.
影响因子：
4.5
作者：
Agyei-Baffour P;Oppong R;Boateng D
通讯作者：
Boateng D
影响因子：
3
作者：
Feng, Zhanlian;Grabowski, David C.;Mor, Vincent
通讯作者：
Mor, Vincent
影响因子：
2.8
作者：
Koduah A;van Dijk H;Agyepong IA
通讯作者：
Agyepong IA
DOI：
10.1002/hpm.4740100104
发表时间：
1995-01-01
影响因子：
2.7
作者：
BARNUM, H;KUTZIN, J;SAXENIAN, H
通讯作者：
SAXENIAN, H