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Payment Incentives for Improved Quality of Health Service Delivery in Republika Srpska and the Federation of Bosnia and Herzegovina

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dc.contributor.authorHuseinagic, Senad
dc.contributor.authorStevic, Sinisa
dc.contributor.authorBirungi, Charles
dc.contributor.authorChukwuma, Adanna
dc.date.accessioned2024-01-05T20:00:01Z
dc.date.available2024-01-05T20:00:01Z
dc.date.issued2024-01-05
dc.description.abstractThis report outlines a strategic approach to introduce pay-for-performance (P4P) incentives for improved noncommunicable disease (NCD) care in Republika Srpska (RS) and the Federation of Bosnia and Herzegovina (FBiH). Developed under the context of the Functional Review of Health Systems’ Performance Program financed by the European Union and implemented by the World Bank Group, it intends to provide initial framework for methodological documents to be supported by the Health Systems Improvement Project (HSIP), focusing on evidence-based, technically sound, and politically feasible strategies. Participatorily developed, the report synthesizes global lessons and analyzes the policy environment in RS and FBiH. It proposes key design features, addressing strategic opportunities and operational challenges. Behavioral economics insights and political economy factors inform the approach, identifying key levers, opportunities, and challenges affecting P4P implementation capacity. To enhance NCD care quality, the report recommends changes in the provider payment mix, tailored reforms at entity and cantonal levels, and active service user engagement. Emphasizing the importance of linking payment incentives to performance, the proposed design spans dimensions such as performance measures, basis of payment, payment attributes, recipient of payment, and targeted outcomes. An enabling environment is deemed critical. Relatedly, effective implementation requires robust data systems, stakeholder engagement, adapted legal frameworks, and suitable institutional arrangements. Technical assistance and budgetary support needs are identified. It is expected that P4P implementation will enhance NCD care coverage and quality, thereby improving health outcomes and overall health system performance in RS and FBiH.en
dc.identifierhttp://documents.worldbank.org/curated/en/099818311302336413/IDU09a59f76e0333a041a408a9b0d575733212c4
dc.identifier.doi10.1596/40849
dc.identifier.urihttps://openknowledge.worldbank.org/handle/10986/40849
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/igo
dc.subjectHEALTH FINANCING
dc.subjectQUALITY OF CARE
dc.subjectPAY-FOR-PERFORMANCE
dc.subjectNONCOMMUNICABLE DISEASE
dc.subjectBOSNIA AND HERZEGOVINA
dc.subjectGOOD HEALTH AND WELL-BEING
dc.subjectSDG 3
dc.titlePayment Incentives for Improved Quality of Health Service Delivery in Republika Srpska and the Federation of Bosnia and Herzegovinaen
dc.typeWorking Paper
dspace.entity.typePublication
okr.crossref.titlePayment Incentives for Improved Quality of Health Service Delivery in Republika Srpska and the Federation of Bosnia and Herzegovina
okr.date.disclosure2024-01-05
okr.date.lastmodified2023-11-30T00:00:00Zen
okr.doctypeWorking Paper
okr.docurlhttp://documents.worldbank.org/curated/en/099818311302336413/IDU09a59f76e0333a041a408a9b0d575733212c4
okr.guid099818311302336413
okr.identifier.docmidIDU-9a59f76e-333a-41a4-8a9b-d575733212c4
okr.identifier.doihttp://dx.doi.org/10.1596/40849
okr.identifier.externaldocumentum34205150
okr.identifier.internaldocumentum34205150
okr.identifier.report186129
okr.import.id2766
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099818311302336413/pdf/IDU09a59f76e0333a041a408a9b0d575733212c4.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryBosnia and Herzegovina
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.unitHNP Global (HHNGE)
relation.isAuthorOfPublication41aa479e-8677-5046-8dc0-ceca0dc1aa7f
relation.isAuthorOfPublication.latestForDiscovery41aa479e-8677-5046-8dc0-ceca0dc1aa7f
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