Cost-Effectiveness Analysis of Results-Based Financing Programs
No hay miniatura disponible
Fecha
Título de la revista
ISSN de la revista
Título del volumen
Editor
World Bank, Washington, DC
Resumen
Descripción
Results-based financing (RBF), which
rewards providers, users, or administrators of services upon
achieving a set of verified results, has been gaining
attraction in global health as a prominent approach to gain
value for money. With a large number of countries adopting
RBF in the recent years, evidence starts to emerge which
points to the effectiveness of RBF in improving coverage and
quality of important services, such as maternal and child
health and reproductive health. The current toolkit aims to
support country programs to assess the cost-effectiveness of
RBF interventions and to facilitate cross-country
comparisons of RBF programs. The toolkit is specifically
tailored to supply-side RBF but its general principles apply
to most health systems interventions directed at the
health-related millennium development goals (MDGs). The
development of the toolkit was based on actual experience of
conducting a cost effectiveness analysis of Zambia’s RBF
program and an extensive review of RBF programs features
across the health results innovation trust fund (HRITF)
portfolio. Given that RBF programs in the HRITF portfolio
are typically complex health system interventions, the
toolkit recommends a practical approach of adopting a
program implementer’s perspective and presents different
options for cost-effectiveness analysis (for selected key
indicators or for an entire package of services). It also
provides guidance on incorporating quality of care, which is
strongly emphasized across many RBF programs.
Palabras clave
CHILD HEALTH, RISKS, REPRODUCTIVE HEALTH, VACCINATION, FINANCING, ANTENATAL CARE, DEATHS, INCOME, QUALITY OF HEALTH CARE, PREVENTION, HEALTH ECONOMICS, MORBIDITY, SYPHILIS, COMMUNITY HEALTH, HEALTH CARE, MEDICAL RECORDS, DEATH, DEATH RATE, INCENTIVES, HEALTH, OBSTETRICAL CARE, DEVELOPMENT GOALS, HEALTH FACILITIES, PUBLIC HEALTH, LIFE EXPECTANCY, QUALITY OF HEALTH, HOSPITALIZATION, HEALTH SECTOR, KNOWLEDGE, DISABILITIES, CHOICE, COST EFFECTIVENESS, HEALTH STATUS, COSTS, IRON, IMMUNIZATION, PATIENTS, PATIENT, IMPACT OF QUALITY OF CARE, HEALTH EQUIPMENT, HOSPITAL RECORDS, INTERVENTION, HEALTH SYSTEMS, FIXED COSTS, PREVENTIVE TREATMENT, HEALTH CENTERS, IMPACT EVALUATIONS, HEALTH CARE SERVICES, HEALTH MANAGEMENT, TUBERCULOSIS, FOLIC ACID, HEALTH ORGANIZATION, SCREENING, BIRTH RATE, GLOBAL HEALTH, HIV/AIDS, POLIO VACCINE, MORTALITY, GENERAL PRACTICE, COUNSELLING, EQUITY, CHILDBIRTH, HEALTH SPECIALIST, WORKERS, SURGERY, QUALITY OF CARE, HEALTH SYSTEMS STRENGTHENING, POSTNATAL CARE, IMMUNODEFICIENCY, CARE, POLICY MAKERS, HEALTH POLICY, HEALTH EFFECTS, BUDGETS, SOCIAL POLICY, DEMAND, HEALTH OUTCOMES, HEPATITIS B, FAMILY PLANNING, MEDICAL EQUIPMENT, EXPENDITURES, DECISION MAKING, HOSPITAL COSTS, MEASUREMENT, NUTRITION, SERVICE UTILIZATION, POLICY, QUALITY OF LIFE, PRIMARY HEALTH CARE, BURDEN OF DISEASE, INTERNET, HEALTH RESULTS, HEALTH SYSTEM, INSURANCE, WEIGHT, PREGNANT WOMEN, CHILDREN, DISEASE CONTROL, EVALUATION, INPATIENT CARE, POVERTY, ILLNESS, DISABILITY, INCIDENCE, LIMITED RESOURCES, COUNSELING, POPULATION, POLIO, STRATEGY, FEES, EPIDEMIOLOGY, REGISTRATION, CHILD HEALTH SERVICES, MEDICINES, HEALTH PROJECTS, HOSPITALS, HEALTH INTERVENTIONS, HEALTH CONSEQUENCES, MILLENNIUM DEVELOPMENT GOALS, BIRTH ATTENDANT, HEALTH SERVICE, HEALTH PROGRAMS, HEALTH SERVICES, IMPLEMENTATION, PREGNANCY, ABORTION, CONDOMS, CLEANLINESS, HEALTH STRATEGY, PROVIDER PAYMENT, PRIMARY HEALTH CARE SERVICES