Impact of a service provider incentive payment scheme on quality of reproductive and child-health services in Egypt
A case-control, quasi-experimental study was designed (post-test only) to investigate the effect of a per-formance-based incentive payment scheme on behaviours of public-sector service providers in delivering a basic package of maternal and child-health services in Egyptian primary healthcare units....
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Veröffentlicht in: | Journal of health, population and nutrition population and nutrition, 2010-06, Vol.28 (3), p.273-280 |
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container_title | Journal of health, population and nutrition |
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creator | Huntington, Dale Zaky, Hassan H. M Shawky, Sherine Fattah, Faten Abdel El-Hadary, Eman |
description | A case-control, quasi-experimental study was designed (post-test only)
to investigate the effect of a per-formance-based incentive payment
scheme on behaviours of public-sector service providers in delivering a
basic package of maternal and child-health services in Egyptian primary
healthcare units. The results showed significant improvements in the
quality of family-planning, antenatal care, and child-care services as
reported by women seen in clinics where the incentive payment scheme
was in operation as measured by various indicators, including both
technical and inter-personal communication content. An analysis of
characteristics of the service providers and clients found no
significant or meaningful differences between the study groups, and the
facilities of both the study groups were essentially the same. Some
findings are suggestive of other influences on behaviours of the
service providers not captured by the data-collection instruments of
the study. Subsequent to this study, the payment scheme has been rolled
out to other dis-tricts in Egypt. |
doi_str_mv | 10.3329/jhpn.v28i3.5556 |
format | Article |
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to investigate the effect of a per-formance-based incentive payment
scheme on behaviours of public-sector service providers in delivering a
basic package of maternal and child-health services in Egyptian primary
healthcare units. The results showed significant improvements in the
quality of family-planning, antenatal care, and child-care services as
reported by women seen in clinics where the incentive payment scheme
was in operation as measured by various indicators, including both
technical and inter-personal communication content. An analysis of
characteristics of the service providers and clients found no
significant or meaningful differences between the study groups, and the
facilities of both the study groups were essentially the same. Some
findings are suggestive of other influences on behaviours of the
service providers not captured by the data-collection instruments of
the study. Subsequent to this study, the payment scheme has been rolled
out to other dis-tricts in Egypt.</description><identifier>ISSN: 1606-0997</identifier><identifier>EISSN: 2072-1315</identifier><identifier>DOI: 10.3329/jhpn.v28i3.5556</identifier><identifier>PMID: 20635638</identifier><language>eng</language><publisher>Bangladesh: icddr,b</publisher><subject>Adolescent ; Adult ; Antenatal care ; Case-Control Studies ; Child ; Child care ; Child Health ; Child health services ; Child Health Services - economics ; Child, Preschool ; Childrens health ; Economic aspects ; Egypt ; Female ; Group incentives ; Health care industry ; Health care payments ; Health services ; Humans ; Impact studies ; Incentive pay ; Incentive plans ; Incentives ; Infant ; Male ; Maternal health services ; Medical care ; Middle Aged ; Original Papers ; Payments ; Performance payments ; Physicians ; Primary care ; Primary health care ; Primary Health Care - economics ; Quality management ; Quality of care ; Quality of Health Care - economics ; Reimbursement, Incentive - economics ; Reproductive health ; Reproductive Health Services - economics ; Salary ; Womens health ; Young Adult</subject><ispartof>Journal of health, population and nutrition, 2010-06, Vol.28 (3), p.273-280</ispartof><rights>Copyright 2010 Journal of Health Population and Nutrition.</rights><rights>Copyright © 2010 International Centre for Diarrhoeal Disease Research</rights><rights>COPYRIGHT 2010 BioMed Central Ltd.</rights><rights>Copyright Intenational Centre for Diarrhoeal Disease Research, Bangladesh Jun 2010</rights><rights>INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b603t-d2fd4076a32e71b3903d4f2563e46e7ee2dd2245cc971b4e563eba184796f3b23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23499821$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23499821$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,12846,27924,27925,30999,31000,53791,53793,58017,58250,79426</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20635638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huntington, Dale</creatorcontrib><creatorcontrib>Zaky, Hassan H. M</creatorcontrib><creatorcontrib>Shawky, Sherine</creatorcontrib><creatorcontrib>Fattah, Faten Abdel</creatorcontrib><creatorcontrib>El-Hadary, Eman</creatorcontrib><title>Impact of a service provider incentive payment scheme on quality of reproductive and child-health services in Egypt</title><title>Journal of health, population and nutrition</title><addtitle>J Health Popul Nutr</addtitle><description>A case-control, quasi-experimental study was designed (post-test only)
to investigate the effect of a per-formance-based incentive payment
scheme on behaviours of public-sector service providers in delivering a
basic package of maternal and child-health services in Egyptian primary
healthcare units. The results showed significant improvements in the
quality of family-planning, antenatal care, and child-care services as
reported by women seen in clinics where the incentive payment scheme
was in operation as measured by various indicators, including both
technical and inter-personal communication content. An analysis of
characteristics of the service providers and clients found no
significant or meaningful differences between the study groups, and the
facilities of both the study groups were essentially the same. Some
findings are suggestive of other influences on behaviours of the
service providers not captured by the data-collection instruments of
the study. Subsequent to this study, the payment scheme has been rolled
out to other dis-tricts in Egypt.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antenatal care</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child care</subject><subject>Child Health</subject><subject>Child health services</subject><subject>Child Health Services - economics</subject><subject>Child, Preschool</subject><subject>Childrens health</subject><subject>Economic aspects</subject><subject>Egypt</subject><subject>Female</subject><subject>Group incentives</subject><subject>Health care industry</subject><subject>Health care payments</subject><subject>Health services</subject><subject>Humans</subject><subject>Impact studies</subject><subject>Incentive pay</subject><subject>Incentive plans</subject><subject>Incentives</subject><subject>Infant</subject><subject>Male</subject><subject>Maternal health services</subject><subject>Medical care</subject><subject>Middle Aged</subject><subject>Original Papers</subject><subject>Payments</subject><subject>Performance payments</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>Primary Health Care - economics</subject><subject>Quality management</subject><subject>Quality of care</subject><subject>Quality of Health Care - economics</subject><subject>Reimbursement, Incentive - economics</subject><subject>Reproductive health</subject><subject>Reproductive Health Services - economics</subject><subject>Salary</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1606-0997</issn><issn>2072-1315</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkt2L1DAUxYso7rr67JNSVlB86Gw-mrZ5EZZl1YEFwY_nkKa30wxt0k3SwfnvTXd2ZndEkBRS7v2dQ25ykuQ1RgtKCb9Yd6NZbEil6YIxVjxJTgkqSYYpZk-TU1ygIkOclyfJC-_XCBGOKvI8OSGooKyg1Wnil8MoVUhtm8rUg9toBeno7EY34FJtFJigN7Ekt0P8Tb3qYIDUmvR2kr0O21npICqaSd2R0jSp6nTfZB3IPnR7Vx_d0uvVdgwvk2et7D28ut_Pkl-fr39efc1uvn1ZXl3eZHWBaMga0jY5KgtJCZS4phzRJm9JPDfkBZQApGkIyZlSPLZzmBu1xFVe8qKlNaFnyaed7zjVAzTzKE72YnR6kG4rrNTiuGN0J1Z2IwivUMVngw_3Bs7eTuCDGLRX0PfSgJ284ISVOSZl-V-ypJTxgpMqkud_kWs7ORPvQTBcoTgeYxF6t4NWsgehTWvj-dRsKS4JpSifwUgt_kHF1cCglTXQ6lg_Enw8EkQmwO-wkpP3Yvnj-zH7_hG7e0pv-yloa_wxeLEDlbPeO2gPF4yRmEMq5pCKu5CKOaRR8fbxuxz4fSoj8GYHrH2w7qFPc84rgh8Gr7XttYEDoZyWYl_sTPwwQpTRPwBo_Os</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Huntington, Dale</creator><creator>Zaky, Hassan H. 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M</au><au>Shawky, Sherine</au><au>Fattah, Faten Abdel</au><au>El-Hadary, Eman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a service provider incentive payment scheme on quality of reproductive and child-health services in Egypt</atitle><jtitle>Journal of health, population and nutrition</jtitle><addtitle>J Health Popul Nutr</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>28</volume><issue>3</issue><spage>273</spage><epage>280</epage><pages>273-280</pages><issn>1606-0997</issn><eissn>2072-1315</eissn><abstract>A case-control, quasi-experimental study was designed (post-test only)
to investigate the effect of a per-formance-based incentive payment
scheme on behaviours of public-sector service providers in delivering a
basic package of maternal and child-health services in Egyptian primary
healthcare units. The results showed significant improvements in the
quality of family-planning, antenatal care, and child-care services as
reported by women seen in clinics where the incentive payment scheme
was in operation as measured by various indicators, including both
technical and inter-personal communication content. An analysis of
characteristics of the service providers and clients found no
significant or meaningful differences between the study groups, and the
facilities of both the study groups were essentially the same. Some
findings are suggestive of other influences on behaviours of the
service providers not captured by the data-collection instruments of
the study. Subsequent to this study, the payment scheme has been rolled
out to other dis-tricts in Egypt.</abstract><cop>Bangladesh</cop><pub>icddr,b</pub><pmid>20635638</pmid><doi>10.3329/jhpn.v28i3.5556</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
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ispartof | Journal of health, population and nutrition, 2010-06, Vol.28 (3), p.273-280 |
issn | 1606-0997 2072-1315 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2980892 |
source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; Bioline International; PubMed Central |
subjects | Adolescent Adult Antenatal care Case-Control Studies Child Child care Child Health Child health services Child Health Services - economics Child, Preschool Childrens health Economic aspects Egypt Female Group incentives Health care industry Health care payments Health services Humans Impact studies Incentive pay Incentive plans Incentives Infant Male Maternal health services Medical care Middle Aged Original Papers Payments Performance payments Physicians Primary care Primary health care Primary Health Care - economics Quality management Quality of care Quality of Health Care - economics Reimbursement, Incentive - economics Reproductive health Reproductive Health Services - economics Salary Womens health Young Adult |
title | Impact of a service provider incentive payment scheme on quality of reproductive and child-health services in Egypt |
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