Protocol for the evaluation of a quality-based pay for performance scheme in Liberia

Implementation Science

Rianna Mohammed²  Kenneth L Leonard³  Luke Bawo¹ 

[1] Ministry of Health and Social Welfare, Monrovia, Liberia;The World Bank, Washington, DC, USA;Department of Agricultural and Resource Economics, University of Maryland, College Park 20740, MD, USA

关键词: Health-care quality;    Pay for performance;    Results-based financing;    Performance-based financing;    Impact evaluation;    Liberia;   

Others  :  1137066
DOI  :  10.1186/s13012-014-0194-9

 received in 2014-09-12, accepted in 2014-12-16,  发布年份 2015

【 摘 要 】

Background

Improving the quality of care at hospitals is a key next step in rebuilding Liberia’s health system. In order to improve the efficiency, effectiveness, and quality of care at the secondary hospital level, the country is developing a system to upgrade health worker skills and competencies, and shifting towards improved provider accountability for results, including a Graduate Medical Residency Program (GMRP) and provider accountability for improvements in quality through performance-based financing (PBF) at the hospital level.

Methods/design

This document outlines the protocol for the impact evaluation of the hospital improvement program. The evaluation will provide an estimate of the impact of the project and investigate the mechanism for success in a way that can provide general lessons about the quality of health care in low-income countries. The evaluation aims 1) to provide the best possible estimate of program impact and 2) to quantitatively describe the changes that took place within facilities as a result of the program. In particular, the impact evaluation focuses on the changes in human resources within the hospitals. As such, we use a three-period intensive evaluation of treated and matched comparison hospitals to see how services change in treated hospitals as well as a continuous data collection effort to track the activities of individual health workers within treated hospitals.

Discussion

We are particularly interested in understanding how facilities met quality targets. Did they bring in new health workers with higher qualifications? Did they improve the knowledge or competence of their existing staff? Did they improve the availability of medicines and equipment so that the capacities of existing health workers were improved? Did they address the motivation of health workers so that individuals with the same competence and capacity were able to provide higher quality? And, if they did improve quality, did patients notice?

【 授权许可】

   
2015 Bawo et al.; licensee BioMed Central.

【 图 表 】

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