Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan

Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan

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 pi...

Full description

Bibliographic Details
Main Authors: Ahmed, Tashrik, Arur, Aneesa, de Walque, Damien, Shapira, Gil
Format: Journal Article
Published: University of Chicago Press 2022
Subjects:
FINANCIAL INCENTIVES
PERFORMANCE-BASED FINANCING
HEALTH
QUALITY OF CARE
Online Access:http://hdl.handle.net/10986/37000
id okr-10986-37000
recordtype oai_dc
spelling okr-10986-370002022-02-19T05:10:38Z Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan Ahmed, Tashrik Arur, Aneesa de Walque, Damien Shapira, Gil FINANCIAL INCENTIVES PERFORMANCE-BASED FINANCING HEALTH QUALITY OF CARE 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. 2022-02-18T13:03:42Z 2022-02-18T13:03:42Z 2022-02 Journal Article Economic Development and Cultural Change http://hdl.handle.net/10986/37000 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank University of Chicago Press Publications & Research Publications & Research :: Journal Article Tajikistan
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic FINANCIAL INCENTIVES
PERFORMANCE-BASED FINANCING
HEALTH
QUALITY OF CARE
spellingShingle FINANCIAL INCENTIVES
PERFORMANCE-BASED FINANCING
HEALTH
QUALITY OF CARE
Ahmed, Tashrik
Arur, Aneesa
de Walque, Damien
Shapira, Gil
Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
geographic_facet Tajikistan
description 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.
format Journal Article
author Ahmed, Tashrik
Arur, Aneesa
de Walque, Damien
Shapira, Gil
author_facet Ahmed, Tashrik
Arur, Aneesa
de Walque, Damien
Shapira, Gil
author_sort Ahmed, Tashrik
title Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
title_short Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
title_full Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
title_fullStr Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
title_full_unstemmed Incentivizing Quantity and Quality of Care : Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
title_sort incentivizing quantity and quality of care : evidence from an impact evaluation of performance-based financing in the health sector in tajikistan
publisher University of Chicago Press
publishDate 2022
url http://hdl.handle.net/10986/37000
_version_ 1764486327979474944

Similar Items