Primary Health Services : Output-Based Contracting to Lift Performance in Romania

• Tác giả: Cristian Vladescu
• Ngôn ngữ: eng
• Ký hiệu phân loại: 327.49 International relations
• Thông tin xuất bản: World Bank, Washington, DC, 2012
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 305487
• Chủ đề: 1. CANCER; 2. CAPITATION; 3. CHILD DEVELOPMENT; 4. DISTRICTS; 5. DOCTORS

Tóm tắt

In 1994 the Romanian government introduced a pilot scheme of output-based contracts to develop the independent provision of primary health services, to increase the share of health spending going to preventive care, and to improve access to health services, especially in rural areas. To achieve these objectives, the scheme relied on output-based financial incentives and competition between doctors for patients. With modifications based on lessons from the pilot, the scheme has now been extended across the entire country.