All of the authors are with the Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor.
Am J Public Health. 2018 Nov;108(11):1473-1477. doi: 10.2105/AJPH.2018.304651. Epub 2018 Sep 25.
Over the past eight years, there has been an increase in the use of pay for success (PFS) as a financing tool whereby private investors provide initial funding for preventive health and human service interventions. If an independent evaluator deems the interventions successful, investors are repaid by the government. To better understand how PFS is used, we created a global landscape surveillance system to track and analyze data on all PFS projects that have launched through 2017. We focus on the potential for PFS to improve population health by funding interventions that target the social determinants of health. Our findings show that all launched projects to date have implemented interventions aimed at improving the structural and intermediary social determinants of health, primarily in socioeconomically disadvantaged populations. Although there are some challenges associated with PFS, we believe it is a promising tool for financing interventions aimed at social determinants of health in underserved and marginalized populations.
在过去的八年中，人们越来越多地使用“支付成功”（PFS）作为一种融资工具，通过这种工具，私人投资者为预防保健和人类服务干预措施提供初始资金。如果独立评估人员认为干预措施成功，政府将向投资者还款。为了更好地了解 PFS 的使用情况，我们创建了一个全球景观监测系统，以跟踪和分析截至 2017 年推出的所有 PFS 项目的数据。我们专注于通过资助针对健康社会决定因素的干预措施来提高人口健康的潜力。我们的研究结果表明，迄今为止所有推出的项目都实施了旨在改善健康结构和中介社会决定因素的干预措施，主要针对社会经济处于不利地位的人群。尽管 PFS 存在一些挑战，但我们相信它是为服务不足和边缘化人群的健康社会决定因素提供资金的有前途的工具。
