An overview of research on the effects of results-based financing
Year: 2008
Type: report
Abstract: Background: Norway is the lead promoter of results-based financing (RBF) as \none of five actions being taken as part of the Global Campaign for the Health \nMillennium Development Goals and plans to support the use of RBF through \nthe World Bank and in bilateral agreements with selected countries focusing \non achieving the Millennium Development Goals (MDGs) of reducing child and \nmaternal mortality (MDG 4 and 5).RBF-schemes can be targeted at different \nlevels: recipients of healthcare, individual providers of healthcare, healthcare \nfacilities, private sector organisations, public sector organisations, sub-national \ngovernments, and national governments. • Method: This report consists of an \noverview of systematic reviews and a critical appraisal of four evaluations of \nRBF schemes in the health sector in low and middle-income countries (LMIC). \nResults: • Ten systematic reviews that met the inclusion criteria for this report \nwere summarised. In addition, four evaluations of RBF schemes in LMIC were \ncritically appraised, including fi nancial incentives targeted at patients, individual \nproviders, organisations, and governments. \nThere are few rigorous studies of RBF and overall the evidence of its effects is \nweak. • Financial incentives targeting recipients of healthcare and individual \nhealthcare professionals appear to be effective in the short run for simple and \ndistinct, well-defi ned behavioural goals. There is less evidence that fi nancial incentives \ncan sustain long-term changes. • The use of RBF in LMIC has commonly \nbeen as part of a package that may include increased funding, technical support, \ntraining, changes in management, and new information systems. It is not \npossible to disentangle the effects of RBF and there is very limited quantitative \nevidence of RBF per se having an effect, other than in the context of conditional \ncash transfers to poor and disadvantaged groups in Latin America to motivate \npreventive care.
Source: BIBSYS Brage (BIBSYS (Norway))
Authors: Andrew D Oxman, Atle Fretheim
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W93768118