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An overview of research on the effects of results-based financing
Oxman, Andrew David; Fretheim, Atle
Rapport fra Kunnskapssenteret 16-2008
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dc.contributor.authorOxman, Andrew David-
dc.contributor.authorFretheim, Atle-
dc.identifier.citationRapport fra Kunnskapssenteret 16-2008en
dc.description.abstractBackground: Norway is the lead promoter of results-based financing (RBF) as one of five actions being taken as part of the Global Campaign for the Health Millennium Development Goals and plans to support the use of RBF through the World Bank and in bilateral agreements with selected countries focusing on achieving the Millennium Development Goals (MDGs) of reducing child and maternal mortality (MDG 4 and 5).RBF-schemes can be targeted at different levels: recipients of healthcare, individual providers of healthcare, healthcare facilities, private sector organisations, public sector organisations, sub-national governments, and national governments. • Method: This report consists of an overview of systematic reviews and a critical appraisal of four evaluations of RBF schemes in the health sector in low and middle-income countries (LMIC). Results: • Ten systematic reviews that met the inclusion criteria for this report were summarised. In addition, four evaluations of RBF schemes in LMIC were critically appraised, including fi nancial incentives targeted at patients, individual providers, organisations, and governments. There are few rigorous studies of RBF and overall the evidence of its effects is weak. • Financial incentives targeting recipients of healthcare and individual healthcare professionals appear to be effective in the short run for simple and distinct, well-defi ned behavioural goals. There is less evidence that fi nancial incentives can sustain long-term changes. • The use of RBF in LMIC has commonly been as part of a package that may include increased funding, technical support, training, changes in management, and new information systems. It is not possible to disentangle the effects of RBF and there is very limited quantitative evidence of RBF per se having an effect, other than in the context of conditional cash transfers to poor and disadvantaged groups in Latin America to motivate preventive care.en
dc.description.sponsorshipNorwegian Agency for Development Cooperation (Norad)en
dc.publisherNorwegian Knowledge Centre for the Health Servicesen
dc.relation.ispartofseriesReport from NOKCen
dc.relation.ispartofseriesRapport fra Kunnskapssentereten
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en
dc.subject.meshWorld Healthen
dc.subject.meshHealth Care Costsen
dc.subject.meshMaternal Welfareen
dc.subject.meshCost-Benefit Analysisen
dc.titleAn overview of research on the effects of results-based financingen
dc.typepeer revieweden
dc.contributor.departmentNorwegian Knowledge Centre for the Health Servicesen
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