Tytuł:

Health care provider payment schemes : a comparative analysis of reform trends

Autor:

Ndayishimiye, Costase

Temat i słowa kluczowe:

healthcare providers ; payment systems ; performancebased financing ; Central and Eastern Europe ; African Commonwealth Countries

Abstrakt:

This dissertation examines recent trends in healthcare provider payment reforms, focusing on barriers and facilitators across different regions, particularly Central and Eastern European (CEE) and African Commonwealth countries. It includes five interconnected studies: a global scoping review, a cross-country analysis of CEE payment schemes, a thematic analysis of CEE reforms, a scoping review of African Commonwealth reforms, and an in-depth study of Rwanda's performance-based financing (PBF) program. Key findings highlight common barriers such as provider resistance and inadequate funding, while facilitators include political commitment and stakeholder engagement. In CEE, output-based payment models dominate, with trends towards blended models incorporating performance-based incentives. In African Commonwealth countries, PBF and mixed models are common, with Rwanda’s PBF improving provider accountability and patient outcomes. The dissertation stresses the importance of reform content, implementation processes, and stakeholder involvement. It advocates for tailored, holistic strategies to overcome challenges and ensure sustainable reforms, contributing valuable insights for future healthcare financing research and policy.

Miejsce wydania:

Kraków

Stopień studiów:

2 - studia doktoranckie

Instytucja nadająca tytuł:

Rada Dyscypliny Nauki o zdrowiu

Promotor:

Dubas-Jakóbczyk, Katarzyna ; Tambor, Marzena

Data:

2025

Data wydania:

2025

Typ:

Praca doktorska

Sygnatura:

ZB-143570

Język:

eng

Prawa dostępu:

nieograniczony