Presentation: pay for performance, formulation, implementation and policy success: in low, middle and high income countries

Autores

  • Fabiana da Cunha Saddi Universidade Federal de Goiás, Goiânia, Goiás, Brasil, fabianasaddi1@gmail.com http://orcid.org/0000-0003-4164-0461
  • Stephen Peckham Universidade de Kent, Cantuária, Inglaterra, s.peckham@kent.ac.uk
  • Pedro Santos Mundim Universidade Federal de Goiás, Faculdade de Ciências Sociais, Goiânia, Goiás, Brasil, psmundim@gmail.com https://orcid.org/0000-0002-7537-5152

DOI:

https://doi.org/10.5216/sec.v21i2.56304

Palavras-chave:

pagamento por desempenho, políticas públicas, sistemas de saúde

Resumo

Low and middle income countries (LMICs), as well as high income countries (HICs), with different politicaleconomic contexts, varying dependence on external financing, as well as in differentiated stages of development of primary health care (PHC), have adopted payment for performance or performance-based financing programs (P4P/PBF). Addressing the reality of different health systems and contexts, in LMICs and HICs, the rationalbased
assumptions supporting the design of P4P/PBF programmes have been theoretically questioned by more realistic political, organizational and motivational assumptions. Empirically, they have been challenged by alternative logics and processes arising from comparatively distinctive implementation and (re)formulation processes, diverse unexpected effects/evidence and a recognition
of the need to consider adaptations and long-term (sustainable) impacts on health systems. Consequently, P4P/PBF programs have been subject to social sciences, public policy, health policy and health systems research. These analyses have the potential to significantly enrich the debate and knowledge on the operation and impact of P4P/PBF programs and how they could be more effectively designed to support health system performance and strengthening, producing effective/real-world or long-term improvements.

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Biografia do Autor

Fabiana da Cunha Saddi, Universidade Federal de Goiás, Goiânia, Goiás, Brasil, fabianasaddi1@gmail.com

Stephen Peckham, Universidade de Kent, Cantuária, Inglaterra, s.peckham@kent.ac.uk

Pedro Santos Mundim, Universidade Federal de Goiás, Faculdade de Ciências Sociais, Goiânia, Goiás, Brasil, psmundim@gmail.com

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Publicado

2018-12-17

Como Citar

DA CUNHA SADDI, F.; PECKHAM, S.; SANTOS MUNDIM, P. Presentation: pay for performance, formulation, implementation and policy success: in low, middle and high income countries. Sociedade e Cultura, Goiânia, v. 21, n. 2, 2018. DOI: 10.5216/sec.v21i2.56304. Disponível em: https://revistas.ufg.br/fcs/article/view/56304. Acesso em: 14 nov. 2024.

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