Pay for Performance: A Reflection on How a Global Perspective Could Enhance Policy and Research

Int J Health Policy Manag. 2020 Sep 1;9(9):365-369. doi: 10.34172/ijhpm.2020.23.

Abstract

Pay-for-performance (P4P) is the provision of financial incentives to healthcare providers based on pre-specified performance targets. P4P has been used as a policy tool to improve healthcare provision globally. However, researchers tend to cluster into those working on high or low- and middle-income countries (LMICs), with still limited knowledge exchange, potentially constraining opportunities for learning from across income settings. We reflect here on some commonalities and differences in the design of P4P schemes, research questions, methods and data across income settings. We highlight how a global perspective on knowledge synthesis could lead to innovations and further knowledge advancement.

Keywords: Comparative Research; Health Financing; Pay-For-Performance.

MeSH terms

  • Delivery of Health Care*
  • Health Personnel
  • Humans
  • Motivation
  • Policy
  • Reimbursement, Incentive