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Improving health worker performance: the patient-perspective from a PBF program in Rwanda

Lannes, Laurence (2015) Improving health worker performance: the patient-perspective from a PBF program in Rwanda. Social Science & Medicine, 138. pp. 1-11. ISSN 0277-9536

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Identification Number: 10.1016/j.socscimed.2015.05.033


The effect of performance-based financing (PBF) on patients' perception of primary health care services in developing countries in not well documented. Data from a randomized impact evaluation in Rwanda conducted between 2006 and 2008 in 157 primary level facilities is used to explore patients' satisfaction with clinical and non-clinical services and quantify the contribution of individual and facility characteristics to satisfaction including PBF. Improvements in productivity, availability and competences of the health workforce following the implementation of PBF have a positive effect on patients' satisfaction with clinical services even if patients' satisfaction is not tied to a reward. The positive effect of PBF on non-clinical dimensions of satisfaction also suggests that PBF incentivizes providers to raise patients' satisfaction with non-clinical services if it is associated with future financial gains. It is recommended that low and middle income countries build on the experience from high income countries to better listen to patients' voice in general and include an assessment of patients' satisfaction in incentive mechanisms as a way to increase the benefits of the strategy

Item Type: Article
Official URL:
Additional Information: © 2015 Elsevier Ltd
Divisions: LSE Health
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 24 Jun 2015 08:33
Last Modified: 20 Oct 2021 00:50

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