Are Incentives Everything? Payment Mechanisms for Health Care Providers in Developing Countries

Gauri, Varun

World Bank, Washington, DC

关键词: ASYMMETRIC INFORMATION;    BREAST CANCER;    CAPITATION;    CITIES;    CLINICS;   

DOI  :  10.1596/1813-9450-2624
RP-ID  :  WPS2624

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This paper assesses the extent to whichprovider payment mechanisms can help developing countriesaddress their leading health care problems. It firstidentifies four key problems in the health care systems indeveloping countries: 1) public facilities, which providethe bulk of secondary and tertiary health care services inmost countries, offer services of poor quality; 2) providerscannot be enticed to rural and urban marginal areas, leavinglarge segments of the population without adequate access tohealth care; 3) the composition of health services offeredand consumed is sub-optimal; and 4) coordination in thedelivery of care, including referrals, second opinions, andteamwork, is inadequate. The paper examines each problem inturn and assesses the extent to which changes in providerpayments might address it.