Institute of Tropical Medicine Antwerp
Foundation of Public Utility

Opening the 'black box' of performance-based financing in low- and lower middle-income countries: a review of the literature

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Show simple item record Renmans, D. en_US Holvoet, N. en_US Orach, C. G. en_US Criel, B. en_US 2017-12-18T12:56:06Z 2017-12-18T12:56:06Z 2016 en_US
dc.identifier.issn 0268-1080 en_US
dc.identifier.doi en_US
dc.identifier.other en_US
dc.identifier.other 68 en_US
dc.identifier.other ITG-H1B; ITG-HLA; DPH; U-HFIN; JIF; DOI; PDF; Abstract; DSPACE64 en_US
dc.description.abstract Although performance-based financing (PBF) receives increasing attention in the literature, a lot remains unknown about the exact mechanisms triggered by PBF arrangements. This article aims to summarize current knowledge on how PBF works, set out what still needs to be investigated and formulate recommendations for researchers and policymakers from donor and recipient countries alike. Drawing on an extensive systematic literature review of peer-reviewed journals, we analysed 35 relevant articles. To guide us through this variety of studies, point out relevant issues and structure findings, we use a comprehensive analytical framework based on eight dimensions. The review inter alia indicates that PBF is generally welcomed by the main actors (patients, health workers and health managers), yet what PBF actually entails is less straightforward. More research is needed on the exact mechanisms through which not only incentives but also ancillary components operate. This knowledge is essential if we really want to appreciate the effectiveness, desirability and appropriate format of PBF as one of the possible answers to the challenges in the health sector of low-and lower middle-income countries. A clear definition of the research constructs is a primordial starting point for such research. en_US
dc.language English en_US
dc.relation.uri en_US
dc.subject Health services en_US
dc.subject Health financing en_US
dc.subject Performance-based payment en_US
dc.subject Developing countries en_US
dc.subject Review of the literature en_US
dc.title Opening the 'black box' of performance-based financing in low- and lower middle-income countries: a review of the literature en_US
dc.type Article en_US
dc.citation.jtitle Health Policy and Planning en_US
dc.citation.volume 31 en_US
dc.citation.pages 1297 en_US
dc.citation.abbreviation Health Policy Plan en_US

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