Financial arrangements for health systems in low-income countries: an overview of systematic reviews

by Charles S Wiysonge, Elizabeth Paulsen, Simon Lewin et al.
Cochrane Database of Systematic Reviews 2017, Issue 9

76 pp. 1.7 MB
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011084.pub2/epdf

Research based on sound systematic review methods has evaluated numerous financial arrangements relevant to low-income countries, targeting different levels of the health systems and assessing diverse outcomes. However, included reviews rarely reported social outcomes, resource use, equity impacts, or undesirable effects. The authors also identified gaps in primary research because of uncertainty about applicability of the evidence to low-income countries. Financial arrangements for which the effects are uncertain include external funding (aid), caps and co-payments, pay-for-performance, and provider incentives. Further studies evaluating the effects of these arrangements are needed in low-income countries.

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