Primary Health Services : Output-Based Contracting to Lift Performance in Romania
In 1994 the Romanian government introduced a pilot scheme of output-based contracts to develop the independent provision of primary health services, to increase the share of health spending going to preventive care, and to improve access to health...
Main Authors: | , |
---|---|
Format: | Viewpoint |
Language: | English |
Published: |
World Bank, Washington, DC
2012
|
Subjects: | |
Online Access: | http://documents.worldbank.org/curated/en/2001/09/1764496/primary-health-services-output-based-contracting-lift-performance-romania http://hdl.handle.net/10986/11366 |
id |
okr-10986-11366 |
---|---|
recordtype |
oai_dc |
spelling |
okr-10986-113662021-06-14T10:59:49Z Primary Health Services : Output-Based Contracting to Lift Performance in Romania Vladescu, Cristian Radulescu, Silviu CANCER CAPITATION CHILD DEVELOPMENT DISTRICTS DOCTORS EMPLOYMENT FIXED COSTS GENERAL PRACTITIONERS HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS IMMUNIZATION INCOME INFANTS INTERVENTION MEDICAL EDUCATION MONITORING MECHANISMS NURSES PATIENTS PHYSICIANS PREGNANCY PRIMARY CARE PRIVATE SECTOR PROGNOSIS PROSTATE CANCER PUBLIC HEALTH RURAL AREAS SCHOOLS SCREENING SPECIALISTS TOWNS URBAN AREAS VACCINATIONS PRIMARY HEALTH CARE COSTS PRIMARY HEALTH CARE EVALUATION PRIMARY HEALTH CARE MANAGEMENT PREVENTIVE HEALTH CARE ACCESS TO HEALTH CARE FINANCIAL INCENTIVES COMPETITIVENESS PAYMENTS SYSTEMS IMMUNIZATION COSTS SERVICE QUALITY In 1994 the Romanian government introduced a pilot scheme of output-based contracts to develop the independent provision of primary health services, to increase the share of health spending going to preventive care, and to improve access to health services, especially in rural areas. To achieve these objectives, the scheme relied on output-based financial incentives and competition between doctors for patients. With modifications based on lessons from the pilot, the scheme has now been extended across the entire country. 2012-08-13T14:52:22Z 2012-08-13T14:52:22Z 2001-09 http://documents.worldbank.org/curated/en/2001/09/1764496/primary-health-services-output-based-contracting-lift-performance-romania Viewpoint. -- Note no. 239 (September 2001) http://hdl.handle.net/10986/11366 English Viewpoint CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Viewpoint Publications & Research Europe and Central Asia Romania |
repository_type |
Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
building |
World Bank Open Knowledge Repository |
collection |
World Bank |
language |
English |
topic |
CANCER CAPITATION CHILD DEVELOPMENT DISTRICTS DOCTORS EMPLOYMENT FIXED COSTS GENERAL PRACTITIONERS HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS IMMUNIZATION INCOME INFANTS INTERVENTION MEDICAL EDUCATION MONITORING MECHANISMS NURSES PATIENTS PHYSICIANS PREGNANCY PRIMARY CARE PRIVATE SECTOR PROGNOSIS PROSTATE CANCER PUBLIC HEALTH RURAL AREAS SCHOOLS SCREENING SPECIALISTS TOWNS URBAN AREAS VACCINATIONS PRIMARY HEALTH CARE COSTS PRIMARY HEALTH CARE EVALUATION PRIMARY HEALTH CARE MANAGEMENT PREVENTIVE HEALTH CARE ACCESS TO HEALTH CARE FINANCIAL INCENTIVES COMPETITIVENESS PAYMENTS SYSTEMS IMMUNIZATION COSTS SERVICE QUALITY |
spellingShingle |
CANCER CAPITATION CHILD DEVELOPMENT DISTRICTS DOCTORS EMPLOYMENT FIXED COSTS GENERAL PRACTITIONERS HEALTH CARE HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS IMMUNIZATION INCOME INFANTS INTERVENTION MEDICAL EDUCATION MONITORING MECHANISMS NURSES PATIENTS PHYSICIANS PREGNANCY PRIMARY CARE PRIVATE SECTOR PROGNOSIS PROSTATE CANCER PUBLIC HEALTH RURAL AREAS SCHOOLS SCREENING SPECIALISTS TOWNS URBAN AREAS VACCINATIONS PRIMARY HEALTH CARE COSTS PRIMARY HEALTH CARE EVALUATION PRIMARY HEALTH CARE MANAGEMENT PREVENTIVE HEALTH CARE ACCESS TO HEALTH CARE FINANCIAL INCENTIVES COMPETITIVENESS PAYMENTS SYSTEMS IMMUNIZATION COSTS SERVICE QUALITY Vladescu, Cristian Radulescu, Silviu Primary Health Services : Output-Based Contracting to Lift Performance in Romania |
geographic_facet |
Europe and Central Asia Romania |
relation |
Viewpoint |
description |
In 1994 the Romanian government
introduced a pilot scheme of output-based contracts to
develop the independent provision of primary health
services, to increase the share of health spending going to
preventive care, and to improve access to health services,
especially in rural areas. To achieve these objectives, the
scheme relied on output-based financial incentives and
competition between doctors for patients. With modifications
based on lessons from the pilot, the scheme has now been
extended across the entire country. |
format |
Publications & Research :: Viewpoint |
author |
Vladescu, Cristian Radulescu, Silviu |
author_facet |
Vladescu, Cristian Radulescu, Silviu |
author_sort |
Vladescu, Cristian |
title |
Primary Health Services : Output-Based Contracting to Lift Performance in Romania |
title_short |
Primary Health Services : Output-Based Contracting to Lift Performance in Romania |
title_full |
Primary Health Services : Output-Based Contracting to Lift Performance in Romania |
title_fullStr |
Primary Health Services : Output-Based Contracting to Lift Performance in Romania |
title_full_unstemmed |
Primary Health Services : Output-Based Contracting to Lift Performance in Romania |
title_sort |
primary health services : output-based contracting to lift performance in romania |
publisher |
World Bank, Washington, DC |
publishDate |
2012 |
url |
http://documents.worldbank.org/curated/en/2001/09/1764496/primary-health-services-output-based-contracting-lift-performance-romania http://hdl.handle.net/10986/11366 |
_version_ |
1764416478948360192 |