BACKGROUND In high-resource settings, 'pay-for-performance' (P4P) programs have generated interest as a potential mechanism to improve health service delivery and accountability. However, there has been little or no experimental evidence to guide the development or assess the effectiveness of P4P incentive programs in developing countries. In the developing world, P4P programs are likely to rel...

BACKGROUND Rewarding provider performance has been recommended by the Institute of Medicine as an approach to improve the quality of treatment, yet little empirical research currently exists that has examined the effectiveness and cost-effectiveness of such approaches. The aim of this study is to test the effectiveness and cost-effectiveness of providing monetary incentives directly to therapis...

BACKGROUND Pay for performance (P4P) is a business model in which health plans pay provider organizations (medical groups) financial incentives based on attainment of clinical quality, patient experience, and use of information technology. The California P4P program is the largest P4P program in the united states and represents a potential revenue source for all participating medical groups. Th...

BACKGROUND The evaluation of payment for performance (P4P) programmes has focused mainly on understanding contributions to health service coverage, without unpacking causal mechanisms. The overall aim of the paper is to test the causal pathways through which P4P schemes may (or may not) influence maternal care outcomes. METHODS We used data from an evaluation of a P4P programme in Tanzania. D...

BACKGROUND Health workers' motivation is a key determinant of the quality of health services, and poor motivation has been found to be an obstacle to service delivery in many low-income countries. In order to increase the quality of service delivery in the public sector in Tanzania, the Open Performance Review and Appraisal System (OPRAS) has been implemented, and a new results-based payment sy...

Many physicians receive a payment for their performance (P4P). This is often linked to health target that triggers bonus when met. For some patients the easily met, while others require significant amount of care reach (if ever). study contributes literature by providing evidence how P4P affects allocation across with low and high responsiveness treatment compared fixed payment, such as capitat...

INTRODUCTION Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries. OBJECTIVE Our study aims to describe and compare recent existing primary care indicators and related financing in European countries. METHODS Lite...

While there is a growing stream of research examining online sponsored search advertising, an important area that has not yet received enough attention is the interplay between pay-per-performance advertising and the quality of the firms who choose to invest in it. Our objective in this work is to explore how the shift from pay-for-exposure to pay-for-performance advertising affects the ability...

The market of energy services for the residential sector in Europe is very limited at present. Various reasons can be argued such as high transaction costs a highly fragmented and low consumption per dwelling. rather long payback time investments render Energy Services Companies’ (ESCOs) financially unattractive many ESCOs building residents, thus hindering large potential savings that responsi...