基于绩效的融资：只是捐助者的一时风尚，还是全面医疗改革的催化剂？
Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?
机构信息
Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, 2000, Belgium.
出版信息
Bull World Health Organ. 2011 Feb 1;89(2):153-6. doi: 10.2471/BLT.10.077339. Epub 2010 Nov 26.
Abstract
Performance-based financing is generating a heated debate. Some suggest that it may be a donor fad with limited potential to improve service delivery. Most of its critics view it solely as a provider payment mechanism. Our experience is that performance-based financing can catalyse comprehensive reforms and help address structural problems of public health services, such as low responsiveness, inefficiency and inequity. The emergence of a performance-based financing movement in Africa suggests that it may contribute to profoundly transforming the public sectors of low-income countries.
摘要
绩效型融资正在引发激烈的讨论。有人认为这可能是一种带有有限改善服务提供潜力的捐赠时尚。其大多数批评者仅将其视为一种供方支付机制。我们的经验是，绩效型融资可以催化全面改革，有助于解决公共卫生服务的结构性问题，如反应迟钝、效率低下和不公平。绩效型融资运动在非洲的出现表明，它可能有助于从根本上改变低收入国家的公共部门。
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