{"id":987769607,"date":"2025-04-10T12:03:38","date_gmt":"2025-04-10T11:03:38","guid":{"rendered":"https:\/\/p4h.world\/?post_type=documents&p=987769607"},"modified":"2025-04-30T12:19:52","modified_gmt":"2025-04-30T11:19:52","slug":"purchasing-primary-care-services-for-quality-chronic-care-capitation-with-performance-payments-in-four-countries","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/purchasing-primary-care-services-for-quality-chronic-care-capitation-with-performance-payments-in-four-countries\/","title":{"rendered":"Purchasing primary care services for quality chronic care: Capitation with performance payments in four countries"},"content":{"rendered":"

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Published in The International Journal of Health Planning and Management<\/em>, the open-access short communication \u201cPurchasing Primary Care Services for Quality Chronic Care: Capitation With Performance Payments in Four Countries\u201d<\/em> examines how provider payment reforms can enhance chronic care quality in low- and middle-income settings. Authored by a multi-country team of experts, the study analyses case studies from Chile<\/a>, China<\/a>, Indonesia<\/a>, and South Africa<\/a>\u2014countries that introduced capitation payments combined with performance-based incentives to improve service delivery for non-communicable diseases (NCDs).<\/p>\n

While these reforms aimed to boost provider accountability and patient outcomes, the findings reveal that financial incentives alone were insufficient to drive meaningful change. Implementation challenges, such as voluntary enrolment, quality metric selection, risk adjustment, and payment uncertainty\u2014limited the effectiveness and uptake of these programs. The article underscores the need for more nuanced policy design, including progressive performance targets and consistent payment mechanisms, to avoid penalising providers and to ensure equitable improvements in chronic care delivery.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n

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Published in The International Journal of Health Planning and Management, the open-access short communication \u201cPurchasing Primary Care Services for Quality Chronic Care: Capitation With Performance Payments in Four Countries\u201d examines how provider payment reforms can enhance chronic care quality in low- and middle-income settings. Authored by a multi-country team of experts, the study analyses case…<\/p>\n","protected":false},"author":559,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[126,132],"document_type":[2321],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987769607"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/559"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987769607"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987769607\/revisions"}],"predecessor-version":[{"id":987769622,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987769607\/revisions\/987769622"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987769607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987769607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987769607"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987769607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}