ArticleGlobal health action2017
Physicians' and nurses' attitudes towards performance-based financial incentives in Burundi: a qualitative study in the province of Gitega.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 38 citations in OpenAlex.
- Examining Tertiary Healthcare Quality Under Asset Leasing, Performance-Based Financing, and Social Impact Bonds: The Role of Government Stewardship in a Cross-Sectional Quantitative Study in Kenya.Health science reports · 2026Article
- Preferences of healthcare workers for provider payment systems in The Gambia's National Health Insurance Scheme.BMC health services research · 2023Article
- Factors Related to Nurse Satisfaction with Supervisor Leadership.International journal of environmental research and public health · 2023Article
- Effects of computerized decision support on maternal and neonatal health-worker performance in the context of combined implementation with performance-based incentivisation in Upper East Region, Ghana: a qualitative study of professional perspectives.BMC health services research · 2022Article
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- Is Performance-Based Financing A Pathway to Strategic Purchasing in Sub-Saharan Africa? A Synthesis of the Evidence.Health systems and reform · 2022Review
- "It Depends on What They Experience in Each Health Facility. Some Are Satisfied, Others Are Not." A MixedMethods Exploration of Health Workers' Attitudes Towards Performance-Based Financing in Burkina Faso.International journal of health policy and management · 2021Article
- Job satisfaction and caring behavior among nurses in a military hospital: A cross-sectional study.Journal of public health research · 2021Article
- Determinants of Motivation among Healthcare Workers in the East African Community between 2009-2019: A Systematic Review.Healthcare (Basel, Switzerland) · 2020Review
- Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review.Global health action · 2020Article
- Article
- How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study.Health policy and planning · 2019Article
- Stakeholder Perceptions and Context of the Implementation of Performance-Based Financing in District Hospitals in Mali.International journal of health policy and management · 2019Article
- Financial Incentives for Medical Assistants: A Mixed-Methods Exploration of Bonus Structures, Motivation, and Population Health Quality Measures.Annals of family medicineArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerformance-based financing (PBF) was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. PBF is a reform approach to improve the quality, quantity, and equity of health services and aims at achieving universal health coverage. It focuses on how to best motivate health practitioners.
objectiveTo elicit physicians' and nurses' experiences and views on how PBF influenced and helped them in healthcare delivery.
methodsA qualitative cross-sectional study was carried out among frontline health workers such as physicians and nurses. The data was gathered through individual face-to-face, in-depth, semi-structured interviews with 6 physicians and 30 nurses from February to March 2011 in three hospitals in Gitega Province. A simple framework approach and thematic analysis using a combination of manual technique and MAXQDA software guided the analysis of the interview data.
resultsOverall, the interviewees felt that the PBF scheme had provided positive motivation to improve the quality of care, mainly in the structures and process of care. The utilization of health services and the relationship between health practitioners and patients also improved. The salary top-ups were recognized as the most significant impetus to increase effort in improving the quality of care. The small and sometimes delayed financial incentives paid to physicians and nurses were criticized. The findings of this study also indicate that the positive interaction between performance-based incentive schemes and other health policies is crucial in achieving comprehensive improvement in healthcare delivery.
conclusionsPBF has the potential to motivate medical staff to improve healthcare provision. The views of medical staff and the context of the area of implementation have to be taken into consideration when designing and implementing PBF schemes.
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