Yé Maurice, Diboulo Eric, Kagoné Moubassira, Sié Ali, Sauerborn Rainer, Loukanova Svetla
Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso;
Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso.
Glob Health Action. 2016 Jan 5;9:29103. doi: 10.3402/gha.v9.29103. eCollection 2016.
One promising way to improve the motivation of healthcare providers and the quality of healthcare services is performance-based incentives (PBIs) also referred as performance-based financing. Our study aims to explore healthcare providers' preferences for an incentive scheme based on local resources, which aimed at improving the quality of maternal and child health care in the Nouna Health District.
A qualitative and quantitative survey was carried out in 2010 involving 94 healthcare providers within 34 health facilities. In addition, in-depth interviews involving a total of 33 key informants were conducted at health facility levels.
Overall, 85% of health workers were in favour of an incentive scheme based on the health district's own financial resources (95% CI: [71.91; 88.08]). Most health workers (95 and 96%) expressed a preference for financial incentives (95% CI: [66.64; 85.36]) and team-based incentives (95% CI: [67.78; 86.22]), respectively. The suggested performance indicators were those linked to antenatal care services, prevention of mother-to-child human immunodeficiency virus transmission, neonatal care, and immunization.
The early involvement of health workers and other stakeholders in designing an incentive scheme proved to be valuable. It ensured their effective participation in the process and overall acceptance of the scheme at the end. This study is an important contribution towards the designing of effective PBI schemes.
提高医疗服务提供者的积极性和医疗服务质量的一种有前景的方法是基于绩效的激励措施（PBIs），也称为基于绩效的融资。我们的研究旨在探索医疗服务提供者对基于当地资源的激励计划的偏好，该计划旨在提高努纳健康区的母婴保健质量。
2010年对34个医疗机构中的94名医疗服务提供者进行了定性和定量调查。此外，在医疗机构层面共对33名关键信息提供者进行了深入访谈。
总体而言，85%的卫生工作者赞成基于健康区自身财政资源的激励计划（95%置信区间：[71.91；88.08]）。大多数卫生工作者（分别为95%和96%）表示分别偏好经济激励（95%置信区间：[66.64；85.36]）和团队激励（95%置信区间：[67.78；86.22]）。建议的绩效指标是那些与产前护理服务、预防母婴人类免疫缺陷病毒传播、新生儿护理和免疫接种相关的指标。
事实证明，让卫生工作者和其他利益相关者尽早参与激励计划的设计很有价值。这确保了他们有效地参与该过程，并最终全面接受该计划。本研究对设计有效的基于绩效的激励计划做出了重要贡献。
