Who benefits from increased service utilisation? Examining the distributional effects of payment for performance in Tanzania

by Peter Binyaruka, Bjarne Robberstad, Gaute Torsvik et al.
International Journal for Equity in Health, 2018,17:14 – Published: 29 January 2018

16 pp. 527 kB
https://equityhealthj.biomedcentral.com/track/pdf/10.1186/s12939-018-0728-x?
site=equityhealthj.biomedcentral.com

Payment for performance (P4P) strategies, which provide financial incentives to health workers and/or facilities for reaching pre-defined performance targets, can improve healthcare utilisation and quality. P4P may also reduce inequalities in healthcare use and access by enhancing universal access to care, for example, through reducing the financial barriers to accessing care. However, P4P may also enhance inequalities in healthcare if providers cherry-pick the easier-to-reach patients to meet their performance targets. In this study, the authors examine the heterogeneity of P4P effects on service utilisation across population subgroups and its implications for inequalities in Tanzania.

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