Paying for Performance to Improve the Delivery of Health Care Interventions in Low- and Middle-Income Countries
Evidence based on the impact of P4P schemes has increased substantially, and the quality of research is gradually improving P4P schemes can have different impacts on the outcomes of interest, and there is a high degree of heterogeneity in the types of schemes implemented and the evaluations conducted P4P is not a one-size-fits-all intervention, but a variety of P4P is not a one-size-fits-all intervention, but a variety of approaches. Its effectiveness depends on the interaction of several variables, including the design of the intervention (e.g., who receives the payments), the amount of additional funding, ancillary components (e.g., technical support), and contextual factors (including the organizational context).
Diaconu K, Falconer J, Verbel A, Fretheim A, WitterS. Performance payments for improving the delivery of health interventions in low- and middle-income countries. Cochrane Database of Systematic Reviews 2021, No. 5. Art. No.: CD007899. doi: 10.1002 /14651858.CD007899.pub3.
Commentary
This research paper will be a study that investigates the addition of compensation and changes in compensation for the performance and achievements of health care professionals. With the COVID-19 pandemic, there are incentives based on the number of hospital beds the government accepts, but it is important to understand the impact of these incentives. The COVID-19 pandemic may give us a hint to understand how these incentives are affecting us.
The review included 59 relevant studies, 49 of which compared performance-based incentives to business-as-usual health care facilities. Another 17 studies compared health care facilities that offered incentives with those that used other approaches.
The results show that incentives have the potential to improve patient health outcomes, improve the quality of health care services, and increase the availability of health care workers, medicines, and well-functioning infrastructure and equipment. However, it was also explained that there could be unintended consequences. Different studies have shown that incentives can lead to the provision of unnecessary medical services and an increase in unnecessary behavior, which may indicate that additional rewards are difficult to handle.
