Evidence map›Paper›PMID 29984422›Full record

ReviewThe International journal of health planning and management2018

What characteristics of provider payment mechanisms influence health care providers' behaviour? A literature review.

Jacob S Kazungu, Edwine W Barasa, Melvin Obadha, Jane Chuma

Abstract readReview
In one paragraph

Review in The International journal of health planning and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jacob S KazunguHealth Economics Research Unit, KEMRI Wellcome Trust Research Programme, Nairobi, Kenya.ORCID http://orcid.org/0000-0002-3138-7274
Edwine W BarasaHealth Economics Research Unit, KEMRI Wellcome Trust Research Programme, Nairobi, Kenya.
Melvin ObadhaHealth Economics Research Unit, KEMRI Wellcome Trust Research Programme, Nairobi, Kenya.
Jane ChumaHealth Economics Research Unit, KEMRI Wellcome Trust Research Programme, Nairobi, Kenya.

Funding

Wellcome Trust 092654Wellcome Trust 101082Wellcome Trust 107527Wellcome Trust 203077
6 · The paper itself

Abstract

backgroundProvider payment mechanisms (PPMs) create incentives or signals that influence the behaviour of health care providers. Understanding the characteristics of PPMs that influence health care providers' behaviour is essential for aligning PPM reforms for improving access, quality, and efficiency of health care services. We reviewed empirical literature that examined the characteristics of PPMs that influence the behaviour of health care providers.

methodsWe systematically searched for empirical literature in PubMed, Web of Science, and Google Scholar databases and complemented these with physical searching of the references of selected papers for further relevant studies. A total of 16 studies that met our inclusion and exclusion criteria were identified. We analysed data using thematic review.

resultsWe identified seven major characteristics of PPMs that influence health care providers' behaviour. Of these characteristics, payment rate, the sufficiency of payment rate to cover the cost of services, timeliness of payment, payment schedule, performance requirements, and accountability mechanisms were the most important.

conclusionsOur review found that health care providers' behaviour is influenced by the characteristics of PPMs. Provider payment mechanism reforms that optimally structure these characteristics can elicit required incentives for access, equity, quality, and efficiency in service delivery among health care providers towards achieving universal health coverage.

Indexed as

Health PersonnelReimbursement MechanismsDelivery of Health CareHumansReimbursement, Incentiveattributescharacteristicshealth care provider responseprovider payment mechanismsprovider payment methods

Identifiers

PMID29984422
PMCPMC7611391

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.