Output-Based Health Care : Paying for Performance in Haiti

Eichler, Rena ; Auxila, Paul ; Pollock, John

World Bank, Washington, DC

关键词: AGED;    ATTENTION;    BASIC HEALTH SERVICES;    CAPITATION;    CLINICS;   

RP-ID  :  23938

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

In 1999 the U.S. Agency forInternational Development introduced performance-basedcontracting in an effort to improve the effectiveness ofsome of Haiti's nongovernmental organizations inproviding basic health services, such as immunization andprenatal and maternal care. These providers has beenoperating under a payment system that reimbursed theirexpenses up to a ceiling. The new systems set performancetargets and withheld a portion of their historical budget,allowing them to earn back the withheld payment plus a bonusif they met the targets. A one-year pilot involving threeproviders showed some marked improvements in performance.