[EQ] Payment for Performance (P4P): International experience

Payment for Performance (P4P): International experience and a cautionary proposal for Estonia

 

Health Financing Policy Paper, Division of Country Health Systems - 2008

Alan Maynard, Professor of Health Economics at the University of York, England

 

Available online PDF [36p.] at: http://www.euro.who.int/Document/HSF/P4P_Estonia.pdf

 

Can hospitals be encouraged to perform better?

 

“….Some health systems in Europe use financial incentives for hospitals and specialist physicians linked to process and outcome indicators of performance in an attempt to improve health gain. This is called paying for performance (P4P).

 

Can Estonia’s health system reward value for money and improved quality in hospital and other specialized care and, if so, how? These questions are discussed in a WHO report launched today: Payment for performance (P4P): international experience and a cautionary proposal for Estonia. The report advises caution in undertaking P4P but says that it can offer good value for taxpayers and the users of health services….”

 

Content:

Executive summary

Background

Common Problems confronting purchasers and providers

Introduction: focus on structure, process and outcome

Common problems in the delivery of health care

Incentivizing change in health care provision and purchasing

The importance of incentives

Paying hospitals

Paying doctors

Reinforcing the purchaser role: the development of normative incentives

Normative incentives for hospitals

Normative incentives for doctors

Conclusions

References

 

 

 

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