ArticleThe International journal of health planning and management2019
Health care purchasing in Kenya: Experiences of health care providers with capitation and fee-for-service provider payment mechanisms.
Article in The International journal of health planning and management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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Who cites it
19 citing papers in PubMed.
- Understanding provider behavioral responses to capitation prepayment systems: an integrated mixed-methods approach.Cost effectiveness and resource allocation : C/E · 2026Article
- Systematic Review of Financing Functions for Universal Health Coverage in Low- and Middle-Income Countries: Reforms, Challenges, and Lessons Learned.Public health reviews · 2025Review
- Health care provider payment reforms in African states of the Commonwealth-a scoping review.Frontiers in public health · 2025Article
- Sustainable financing for vaccination towards advancing universal health coverage in the WHO African region: The strategic role of national health insurance.Human vaccines & immunotherapeutics · 2024Article
- Examining patient choice and provider competition under the National Health Insurance Fund outpatient cover in Kenya: does it enhance access and quality of care?BMC health services research · 2024Article
- Barriers of access to primary healthcare services by National Health Insurance Fund capitated members in Uasin Gishu county, Kenya.BMC health services research · 2024Article
- Effect of capitation payment method on health outcomes, healthcare utilization, and referrals in Ghana.PLOS global public health · 2024Article
- Expectations of clients, insurers, and providers: a qualitative responsiveness assessment among private health insurance sector in Kampala-Uganda.BMC health services research · 2023Article
- Assessing the choice of National Health Insurance Fund contracted outpatient facilities in Kenya: A qualitative study.The International journal of health planning and management · 2023Article
- Preferences of healthcare workers for provider payment systems in The Gambia's National Health Insurance Scheme.BMC health services research · 2023Article
- Article
- Exploring the roles of players in strategic purchasing for healthcare in Africa-a scoping review.Health policy and planning · 2023Article
- The effect of the capitation policy withdrawal on maternal health service provision in Ashanti Region, Ghana: an interrupted time series analysis.Global health research and policy · 2022Article
- The effects of Ghana's capitation policy on hospital Under-5 mortality in the Ashanti Region.Ghana medical journal · 2022Article
- Understanding the performance of county health service delivery in Kenya: a mixed-method analysis.Health policy and planning · 2022Article
- Infant malnutrition treatment in Kenya: Health worker and breastfeeding peer supporter experiences.Maternal & child nutrition · 2021Article
- Preferences of healthcare providers for capitation payment in Kenya: a discrete choice experiment.Health policy and planning · 2020Article
- Attribute development and level selection for a discrete choice experiment to elicit the preferences of health care providers for capitation payment mechanism in Kenya.Health economics review · 2019Article
- Health care purchasing in Kenya: Experiences of health care providers with capitation and fee-for-service provider payment mechanisms.The International journal of health planning and management · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundProvider payment mechanisms (PPMs) play a critical role in universal health coverage due to the incentives they create for health care providers to deliver needed services, quality, and efficiency. We set out to explore public, private, and faith-based providers' experiences with capitation and fee-for-service in Kenya and identified attributes of PPMs that providers considered important.
methodsWe conducted a qualitative study in two counties in Kenya. Data were collected using semistructured interviews with 29 management team members in six health providers accredited by the National Hospital Insurance Fund (NHIF).
resultsCapitation and fee-for-service payments from the NHIF and private insurers were reported as good revenue sources as they contributed to providers' overall income. The expected fee-for-service payment amounts from NHIF and private insurers were predictable while capitation funds from NHIF were not because providers did not have information on the number of enrolees in their capitation pool. Moreover, capitation payment rates were perceived as inadequate. Capitation and fee-for-service payments from NHIF and private insurers were disbursed late. Finally, public providers had lost their autonomy to access and utilise capitation and fee-for-service payments from the NHIF.
conclusionThrough their experiences, health care providers revealed characteristics of PPMs that they considered important.
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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.