ArticleBMJ global health2018
Understanding for whom, why and in what circumstances payment for performance works in low and middle income countries: protocol for a realist review.
Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed.
- Linking health worker motivation with their stated job preferences: A hybrid choice analysis in Ethiopia.Social science & medicine (1982) · 2022Article
- Changes in health worker knowledge and motivation in the context of a quality improvement programme in Ethiopia.Health policy and planning · 2021Article
- Can Results-Based Financing improve health outcomes in resource poor settings? Evidence from Zimbabwe.Social science & medicine (1982) · 2021Article
- Evaluating performance-based financing in low-income and middle-income countries: the need to look beyond average effect.BMJ global health · 2020Article
- Article
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Authors and funding
5 authors.
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Abstract
backgroundMany low and middle income countries (LMIC) are implementing payment for performance (P4P) schemes to strengthen health systems and make progress towards universal health coverage. A number of systematic reviews have considered P4P effectiveness but did not explore how P4P works in different settings to improve outcomes or shed light on pathways or mechanisms of programme effect. This research will undertake a realist review to investigate how, why and in what circumstances P4P leads to intended and unintended outcomes in LMIC.
methodsOur search was guided by an initial programme theory of mechanisms and involved a systematic search of Medline, Embase, Popline, Business Source Premier, Emerald Insight and EconLit databases for studies on P4P and health in LMIC. Inclusion and exclusion criteria identify literature that is relevant to the initial programme theory and the research questions underpinning the review. Retained evidence will be used to test, revise or refine the programme theory and identify knowledge gaps. The evidence will be interrogated by examining the relationship between context, mechanisms and intended and unintended outcomes to establish what works for who, in which contexts and why. DISCUSSION: By synthesising current knowledge on how P4P affects health systems to produce outcomes in different contexts and to what extent the programme design affects this, we will inform more effective P4P programmes to strengthen health systems and achieve sustainable service delivery and health impacts.
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Registered trials
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.