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  • 1
    UID:
    almafu_9959128136402883
    Format: 1 online resource (47 pages)
    Series Statement: Policy research working papers.
    Content: This paper presents the results of an impact evaluation of a performance-based financing pilot in rural areas of two regions of Tajikistan. Primary care facilities were given financial incentives conditional on general quality and the quantity provided of selected services related to reproductive, maternal and child health, and hypertension-related services. The study relies on a difference-in-difference design and large-scale household and facility-based surveys conducted before the launch of the pilot in 2015 and after three years of implementation. The performance-based financing pilot had positive impacts on quality of care. Significant impacts are measured on facility infrastructure, infection prevention and control standards, availability of equipment and medical supplies, provider competency, provider satisfaction, and even some elements of the content of care, measured through direct observations of provider-patient interactions. While the communities in the performance-based financing districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the findings suggest moderate effects on utilization: among the incentivized utilization indicators, only timely postnatal care and blood pressure measurements for adults were significantly impacted.
    Language: English
    URL: Volltext  (kostenfrei)
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    UID:
    b3kat_BV048271105
    Format: 1 Online-Ressource
    Series Statement: World Bank E-Library Archive
    Content: This chapter describes and seeks to take stock of a cluster of supply-side reforms that aimed to revitalize what was described by the Croatian Public Health Institute as a passive and low-impact primary care system. The cluster of reforms, which include a mix of organizational, primary care provider payment and pharmaceutical pricing and reimbursement reforms, and enabling information technology investments, were implemented starting in 2008. The chapter is organized as follows. Section two provides an overview of Croatia's health system; section three provides an overview of Croatia's Social Health Insurance System; section four discusses the financial sustainability challenges facing the Social Health Insurance System; section five presents the evolution and challenges of primary care in Croatia before 2008; section six discusses the primary care reforms implemented from 2008 onward and reviews the available evidence on its impact, including on how poorer regions and individuals may have benefited; and section seven concludes and outlines the way forward
    Language: English
    URL: Volltext  (kostenfrei)
    Library Location Call Number Volume/Issue/Year Availability
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  • 3
    UID:
    b3kat_BV048272988
    Format: 1 Online-Ressource
    Series Statement: World Bank E-Library Archive
    Content: The objective of this report is to provide guidance on the design and implementation of service delivery models that promote integration of care. Specifically, the report seeks to (i) systematically review the main reform levers of integrated care; (ii) identify processes needed to create an enabling environment for the implementation of integrated care; and (iii) provide guidance on sequencing the different levers and support strategies. This report builds on the findings of recent work that systematically analyzes well-functioning integrated programs in the European Union, North America, and elsewhere, as well as five case studies in Croatia and Poland that were carried out as part of this report
    Language: English
    URL: Volltext  (kostenfrei)
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  • 4
    Online Resource
    Online Resource
    Washington, DC, USA : World Bank Group, Development Economics, Development Research Group & Health, Nutrition and Population Global Practice
    UID:
    gbv_1680055003
    Format: 1 Online-Ressource (circa 47 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8951
    Content: This paper presents the results of an impact evaluation of a performance-based financing pilot in rural areas of two regions of Tajikistan. Primary care facilities were given financial incentives conditional on general quality and the quantity provided of selected services related to reproductive, maternal and child health, and hypertension-related services. The study relies on a difference-in-difference design and large-scale household and facility-based surveys conducted before the launch of the pilot in 2015 and after three years of implementation. The performance-based financing pilot had positive impacts on quality of care. Significant impacts are measured on facility infrastructure, infection prevention and control standards, availability of equipment and medical supplies, provider competency, provider satisfaction, and even some elements of the content of care, measured through direct observations of provider-patient interactions. While the communities in the performance-based financing districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the findings suggest moderate effects on utilization: among the incentivized utilization indicators, only timely postnatal care and blood pressure measurements for adults were significantly impacted
    Additional Edition: Erscheint auch als Druck-Ausgabe Ahmed, Tashrik Incentivizing Quantity and Quality of Care: Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan Washington, D.C : The World Bank, 2019
    Language: English
    Keywords: Graue Literatur
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  • 5
    UID:
    edocfu_9959128136402883
    Format: 1 online resource (47 pages)
    Series Statement: Policy research working papers.
    Content: This paper presents the results of an impact evaluation of a performance-based financing pilot in rural areas of two regions of Tajikistan. Primary care facilities were given financial incentives conditional on general quality and the quantity provided of selected services related to reproductive, maternal and child health, and hypertension-related services. The study relies on a difference-in-difference design and large-scale household and facility-based surveys conducted before the launch of the pilot in 2015 and after three years of implementation. The performance-based financing pilot had positive impacts on quality of care. Significant impacts are measured on facility infrastructure, infection prevention and control standards, availability of equipment and medical supplies, provider competency, provider satisfaction, and even some elements of the content of care, measured through direct observations of provider-patient interactions. While the communities in the performance-based financing districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the findings suggest moderate effects on utilization: among the incentivized utilization indicators, only timely postnatal care and blood pressure measurements for adults were significantly impacted.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 6
    UID:
    edoccha_9959128136402883
    Format: 1 online resource (47 pages)
    Series Statement: Policy research working papers.
    Content: This paper presents the results of an impact evaluation of a performance-based financing pilot in rural areas of two regions of Tajikistan. Primary care facilities were given financial incentives conditional on general quality and the quantity provided of selected services related to reproductive, maternal and child health, and hypertension-related services. The study relies on a difference-in-difference design and large-scale household and facility-based surveys conducted before the launch of the pilot in 2015 and after three years of implementation. The performance-based financing pilot had positive impacts on quality of care. Significant impacts are measured on facility infrastructure, infection prevention and control standards, availability of equipment and medical supplies, provider competency, provider satisfaction, and even some elements of the content of care, measured through direct observations of provider-patient interactions. While the communities in the performance-based financing districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the findings suggest moderate effects on utilization: among the incentivized utilization indicators, only timely postnatal care and blood pressure measurements for adults were significantly impacted.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 7
    UID:
    gbv_1759625949
    Format: 1 Online-Ressource
    Series Statement: Policy Research Working Paper No. 8951
    Content: This paper presents the results of an impact evaluation of a performance-based financing pilot in rural areas of two regions of Tajikistan. Primary care facilities were given financial incentives conditional on general quality and the quantity provided of selected services related to reproductive, maternal and child health, and hypertension-related services. The study relies on a difference-in-difference design and large-scale household and facility-based surveys conducted before the launch of the pilot in 2015 and after three years of implementation. The performance-based financing pilot had positive impacts on quality of care. Significant impacts are measured on facility infrastructure, infection prevention and control standards, availability of equipment and medical supplies, provider competency, provider satisfaction, and even some elements of the content of care, measured through direct observations of provider-patient interactions. While the communities in the performance-based financing districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the findings suggest moderate effects on utilization: among the incentivized utilization indicators, only timely postnatal care and blood pressure measurements for adults were significantly impacted
    Note: Europe and Central Asia , Tajikistan , English
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 8
    UID:
    gbv_1759622745
    Format: 1 Online-Ressource
    Series Statement: Health, Nutrition, and Population Discussion Paper
    Content: The objective of this report is to provide guidance on the design and implementation of service delivery models that promote integration of care. Specifically, the report seeks to (i) systematically review the main reform levers of integrated care; (ii) identify processes needed to create an enabling environment for the implementation of integrated care; and (iii) provide guidance on sequencing the different levers and support strategies. This report builds on the findings of recent work that systematically analyzes well-functioning integrated programs in the European Union, North America, and elsewhere, as well as five case studies in Croatia and Poland that were carried out as part of this report
    Note: Croatia , Eastern Europe , Europe and Central Asia , European Union , Poland , English
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 9
    UID:
    gbv_1780648243
    Format: 1 Online-Ressource
    Series Statement: Research and Policy Brief No. 51
    Content: The highly contagious Delta variant is fueling new outbreaks in East Asia and the Pacific (EAP). It is becoming evident that COVID-19 (coronavirus) is not leaving any time soon and may be here to stay. Countries with high vaccination coverage show, however, that transition to a relativelybenign phase of "managed endemicity" may be possible. At current trends, and given vaccine availability, many EAP countries are expected to vaccinate more than 60 percent of their populations by the first half of next year. Achieving and sustaining high coverage will require improving distribution capacity, overcoming vaccine hesitancy, and expanding regional production of vaccines to ensure reliable supplies for persistent COVID-19. Countries will also need to sustain the process of testing, tracing, and isolation, as well as precautions such as social distancing and wearing masks. Finally, countries need to strengthen their health systems to cope with long COVID
    Note: East Asia and Pacific , East Asia , Oceania , English
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 10
    UID:
    gbv_1806284510
    Format: 1 Online-Ressource
    Content: To improve utilization and quality of health services, a growing number of low- and middle-income countries have been experimenting with financial incentives tied to providers' performance. Relying on a difference-in-differences approach, we estimate the impacts of the performance-based financing pilot in Tajikistan. Primary care facilities were given financial incentives conditional on the quality and quantity of selected services. Significant improvements are found on quality indicators, including elements of the content of care. While the communities in the pilot districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the impact on utilization was limited
    Note: Tajikistan
    Language: Undetermined
    Library Location Call Number Volume/Issue/Year Availability
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