Quality-based purchasing in health care

International Journal of Health Planning and Management

Volumn 19, Issue 4, 2004, Pages 365-381

  Waters, Hugh R ^a   Morlock, Laura L ^a   Hatt, Laurel ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Health care purchasing; Performance; Provider payment; Quality

Indexed keywords

CONCEPTUAL FRAMEWORK; DEVELOPING WORLD; HEALTH CARE; PERFORMANCE ASSESSMENT; QUALITY CONTROL;

ACCESS TO INFORMATION; ARTICLE; BUDGET; ECONOMIC ASPECT; FINANCIAL MANAGEMENT; GOVERNMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; INCOME; INFORMATION PROCESSING; MONITORING; OUTCOMES RESEARCH; PROSPECTIVE PAYMENT; PUBLIC HOSPITAL; PURCHASING; UNITED STATES;

AFRICA SOUTH OF THE SAHARA; DELIVERY OF HEALTH CARE; EUROPE; PRIVATE SECTOR; PUBLIC SECTOR; TOTAL QUALITY MANAGEMENT;

EID: 13444309694     PISSN: 07496753     EISSN: None     Source Type: Journal    
DOI: 10.1002/hpm.768     Document Type: Article

References (49)

1. Akashi H, Yamada T, Huot E, Kanal K, Sugimoto T. 2004. User fees at a public hospital in Cambodia: effects on hospital performance and provider attitudes. Social Sci Med 58: 553-564.
2. Alvarez B, Pellise L, Lobo F. 2000. Payment systems for health care providers in Latin America and OECD countries. Rev Panam Salud Publica 8: 55-70.
3. Atim C. 1998. Contribution of Mutual Health Organizations to Financing, Delivery and Access to Health Care: Synthesis of Research in Nine West and Central African Countries. Partnerships for Health Reform, Technical Report No. 18. Bethesda, MD.
4. Atim C. 1999. Social movements and health insurance: a critical evaluation of voluntary, non-profit insurance schemes with case studies from Ghana and Cameroon. Social Sci Med 48: 881-896.
5. Barnum H, Kutzin J. 1993. Public Hospitals in Developing Countries: Resource Use, Cost, Financing. Johns Hopkins University Press: Baltimore, MD.
6. Bitran R, Yip WC. 1998. A Review of Health Care Provider Payment Reform in Selected Countries in Asia and Latin America. Major Applied Research 2, Working Paper 1. Abt Associates Inc., Partnerships for Health Reform Project: Bethesda, MD.
7. Bossert T, Chitah MB, Bowser D. 2003. Decentralization in Zambia: resource allocation and district performance. Health Policy Plann 18: 357-369.
8. Casalino LP. 2003. Markets and medicine: barriers to creating a 'business case for quality'. Perspect Biol Med 46: 38-51; discussion 52-54.
9. Cercone J, Rosenmoller M. 2000. A New Hospital for Heredia - A Public-Private Partnership for Health Care. In The Challenge of Health Reform: Reaching the Poor. The World Bank: Washington, DC.
10. Cheng TM. 2003. Taiwan's new national health insurance program: genesis and experience so far. Health Affairs 22: 61-76.
11. Creese A, Bennett S. 1997. Rural Risk Sharing Strategies. In Innovations in Health Care Financing, World Bank Discussion Paper, Schieber G (ed.). 365: 163-182.
12. Diop F, Yazbeck A, Bitran R. 1995. The impact of alternative cost recovery schemes on access and equity in Niger. Health Policy Plann 10: 223-240.
13. Epstein A. 1995. Performance reports on quality - prototypes, problems and prospects. N Engl J Med 333: 57-61.
14. Fiedler JL. 1996. The privatization of health care in three Latin American social security systems. Health Policy Plann 11 406-417.
15. Gilson L, Adusei J, Arhin D, Hongoro C, Mujinja P, Sagoe K. 1997. Should African governments contract out clinical health services to church providers? In Private Health Providers in Developing Countries: Serving the Public Interest? Bennett S, McPake B, Mills A (eds). Zed Press: London.
16. Goldfarb NI, Maio V, Carter C, Pizzi L, Nash DB. 2003. How Does Quality Enter into Health Insurance Purchasing Decisions. The Commonwealth Fund: New York.
17. Hanson K, Atuyambe L, Kamwanga J, McPake B, Mungule O, Ssengooba F. 2002. Towards improving hospital performance in Uganda and Zambia: reflections and opportunities for autonomy. Health Policy 61: 73-94.
18. Hurst J, Jee-Hughes M. 2000. Performance Measurement and Performance Management in OECD Health Systems. Organization for Economic Cooperation and Development: Paris.
19. International Labor Organization (ILO). 2002. Extending Social Protection in Health through Community Based Health Organizations: Evidence and Challenges. Social Security and Development Policy Branch, ILO: Geneva.
20. Jack W. 2003. Contracting for health services: an evaluation of recent reforms in Nicaragua. Health Policy Plann 18: 195-204.
21. Jegers M, Kesteloot K, De Graeve D, Gilles W. 2002. A typology for provider payment systems in health care. Health Policy 60: 255-273.
22. Kutzin J. 2001. A descriptive framework for country-level analysis of health care financing arrangements. Health Policy 56 171-204.
23. Langenbrunner JC, Wiley MM. 2002. Hospital payment mechanisms: theory and practice in transition countries. In Hospitals in a Changing Europe, McKee M, Healy J (eds). Open University Press: Buckingham.
24. Litvack JI, Bodart C. 1993. User fees plus quality equals improved access to health care: results of a field experiment in Cameroon. Social Sci Med 37: 369-383.
25. Liu X, Mills A. 2003. The influence of bonus payments to doctors on hospital revenue: results of a quasi-experimental study. Appl Health Econ Health Policy 2: 91-98.
26. Loevinsohn B. 2001. Contracting for the Delivery of Primary Health Care in Cambodia: Design and Initial Experience of A Large Pilot-Test. The World Bank: Washington, DC.
27. McPake B, Ngalande-Banda E. 1994. Contracting out of health services in developing countries. Health Policy Plan 9: 25-30.
28. Mello MM, Studdert DM, Brennan TA. 2003. The leapfrog standards: ready to jump from marketplace to courtroom? Health Affairs 22: 46-59.
29. Maio V, Goldfarb NI, Carter C, Nash DB. 2003. Value-Based Purchasing: A Review of the Literature. The Commonwealth Fund: New York, NY.
30. Mills A, Hongoro C, Broomberg J. 1997. Improving the efficiency of district hospitals: is contracting an option? Trop Med Int Health 2: 116-126.
31. Mills A, Palmer N, Gilson L, et al. 2004. The performance of different models of primary care provision in Southern Africa. Social Sci Med 59: 931-943.
32. Morlock LL, Chow LP, Sorkin AL, Waters H. 2004. Universal Health Insurance: Lessons from Taiwan. Elsevier Science: Amsterdam.
33. Palmer N. 2000. The use of private-sector contracts for primary health care: theory, evidence and lessons for low-income and middle-income countries. Bull World Health Organ 78: 821-829.
34. Preker A, Baeza C, Jakab M. Langenbrunner J. 2000. Resource Allocation and Purchasing (RAP) Arrangements that Benefit the Poor and Excluded Groups. The World Bank: Washington, DC.
35. Robine JM, Jagger C, the Euro-Reves Group. 2003. Creating a coherent set of indicators to monitor health across Europe. Eur J Public Health 13(3 Supplement): 6-14.
36. Ron A. 1999. NGOs in Community Health Insurance Schemes: Examples from Guatemala and the Philippines. Social Science and Medicine 48(7): 939-950.
37. Schneider P, Schneidman M, 2001. New Prepayment Schemes for Health in Rwanda. Washington, DC: The World Bank.
38. Schoenbaum SC, Audet AJ, Davis K. 2003. Obtaining greater value from health care: the roles of the U.S. government. Health Affairs 22: 183-190.
39. Shannon K, Marshall HD, Coleman R. 2002. Straight talk: new approaches in healthcare. Working toward true excellence: employers press for change. Mod Health 30; 32(39): 29-32.
40. Smith L, Brugha R, Zwi A. 2000. Working with Private Sector Providers for Better Health Care: An Introductory Guide. Options and DFID; London.
41. Smith PC, York N. 2004. Quality incentives: the case of U.K. general practitioners. Health Affairs 23: 112-118.
42. Soeters R, Griffiths F. 2003. Improving government health services through contract management: a case from Cambodia. Health Policy Plann 18: 74-83.
43. Tangcharoensathien V, Bennett S, Khongswatt S, Supacutikul A, Mills A. 1999. Patient satisfaction in Bangkok: the impact of hospital ownership and patient payment status. Int J Qual Health Care Aug 11: 309-317.
44. Waters H, Hatt L, Peters D. 2003. Working with the private sector for child health. Health Policy and Planning 18(2): 127-137.
45. World Bank. 2003a. List of World Economies. Washington, DC. April 2003; document on World Bank website www.worldbank.org.
46. World Bank. 2003b. World Development Indicators 2003. World Bank: Washington, DC.
47. World Health Organization. 2000. The World Health Report 2000. Health Systems: Improving Performance. World Health Organization: Geneva.
48. World Health Organization. 2001. The World Health Report 2001. Mental Health: New Understanding, New Hope. World Health Organization: Geneva.
49. Wouters A. 1999. Alternative Provider Payment Methods: Incentives for Improving Health Care Delivery. Primer for Policyrnakers; Series 1. Abt Associates Inc., Partnerships for Health Reform: Bethesda, MD.