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Evaluating the Impact of Results-Based Financing on Health Worker Performance: Theory, Tools and Variables to Inform an Impact Evaluation

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dc.contributor.authorTorsvik, Gaute
dc.contributor.authorLemiere, Christophe
dc.contributor.authorMaestad, Ottar
dc.contributor.authorLeonard, Kenneth L.
dc.contributor.authorHerbst, Christopher H.
dc.date.accessioned2015-07-31T20:22:43Z
dc.date.available2015-07-31T20:22:43Z
dc.date.issued2013-01
dc.description.abstractIn order to advance our understanding of why Results Based Financing (RBF) works or not, it is crucial that evaluations not only measure the impact of such an arrangement on final outcomes (population health), but also assess the changes in variables in the causal chain between intervention and final outcomes. Health worker performance is a key variable in this chain; it is only by changing health workers’ behaviors—their performance—that RBF can influence health outcomes. Careful assessment of impacts on health worker performance is therefore a natural and important element of any RBF impact evaluations. This paper discusses various approaches to evaluating the impact of RBF on health worker performance. The first part is a discussion of possible ways in which RBF may affect health worker behavior, based on economic theory and empirical evidence. The second part is a more practical discussion of how health worker performance and other relevant variables can be measured and how impacts can be estimated. This is followed by some practical steps that can be taken to ensure that the evaluation leads to actions that can be implemented; a brief conclusion completes the paper.en
dc.identifierhttp://documents.worldbank.org/curated/en/2015/07/24819487/evaluating-impact-results-based-financing-health-worker-performance-theory-tools-variables-inform-impact-evaluation
dc.identifier.doi10.1596/22375
dc.identifier.urihttps://hdl.handle.net/10986/22375
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectCHILD HEALTH
dc.subjectHEALTH SERVICE PROVIDER
dc.subjectEMPLOYMENT
dc.subjectCLINICAL GUIDELINES
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectMOTIVATION
dc.subjectPERSONALITY
dc.subjectPRODUCTION
dc.subjectPHYSICIAN
dc.subjectVACCINATION
dc.subjectIMPACT ON HEALTH OUTCOMES
dc.subjectPROVISION OF HEALTH CARE
dc.subjectFINANCING
dc.subjectANTENATAL CARE
dc.subjectDEATHS
dc.subjectINCOME
dc.subjectQUALITY OF HEALTH CARE
dc.subjectPSYCHOLOGY
dc.subjectHEALTH CARE UTILIZATION
dc.subjectFEE FOR SERVICE
dc.subjectPUBLIC SECTOR
dc.subjectDOCTORS
dc.subjectMARGINAL COST
dc.subjectORGANIZATIONAL PSYCHOLOGY
dc.subjectHEALTH ECONOMICS
dc.subjectMORBIDITY
dc.subjectECONOMIC REVIEW
dc.subjectCOST-EFFECTIVENESS
dc.subjectINFORMATION
dc.subjectMONITORING
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE WORKERS
dc.subjectEFFECTS
dc.subjectHEALTH CARE FACILITIES
dc.subjectINCENTIVES
dc.subjectHEALTH
dc.subjectEQUILIBRIUM
dc.subjectINFORMAL PAYMENTS
dc.subjectHEALTH WORKERS
dc.subjectCITIES
dc.subjectHEALTH SERVICE UTILIZATION
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH WORKERS’ PERFORMANCE
dc.subjectQUALITY OF HEALTH
dc.subjectHEALTH SECTOR
dc.subjectKNOWLEDGE
dc.subjectCHOICE
dc.subjectECONOMIC PERSPECTIVES
dc.subjectCOSTS
dc.subjectPATIENTS
dc.subjectPATIENT
dc.subjectINTERVENTION
dc.subjectLOW-INCOME COUNTRIES
dc.subjectPROBABILITY
dc.subjectPRODUCTIVITY
dc.subjectIMPACT EVALUATIONS
dc.subjectNURSES
dc.subjectHEALTH CARE SERVICES
dc.subjectOBSERVATION
dc.subjectORGANIZATIONS
dc.subjectANXIETY
dc.subjectHEALTH CARE QUALITY
dc.subjectHEALTH WORKFORCE
dc.subjectSTANDARDS
dc.subjectHEALTH ORGANIZATION
dc.subjectWORK ENVIRONMENT
dc.subjectOUTPATIENT SERVICES
dc.subjectINTERVIEW
dc.subjectMORTALITY
dc.subjectFINANCIAL INCENTIVE
dc.subjectSOCIAL SUPPORT
dc.subjectEFFICIENCY
dc.subjectADMINISTRATIVE COSTS
dc.subjectUNEMPLOYMENT
dc.subjectHEALTH CARE SECTOR
dc.subjectEXTERNALITY
dc.subjectPREGNANCY COMPLICATIONS
dc.subjectHEALTH SERVICE PROVISION
dc.subjectWORKERS
dc.subjectWAGES
dc.subjectINCENTIVE SCHEMES
dc.subjectCROWDING
dc.subjectHEALTH-CARE
dc.subjectCLINICAL QUALITY
dc.subjectVALUE
dc.subjectCARE
dc.subjectDEMAND
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH-CARE PROVIDERS
dc.subjectMARGINAL COSTS
dc.subjectFAMILY PLANNING
dc.subjectSTRESS
dc.subjectINCOME COUNTRIES
dc.subjectBLOOD DONATIONS
dc.subjectINTRINSIC MOTIVATION
dc.subjectPRIVATE SECTOR
dc.subjectMEASUREMENT
dc.subjectOPPORTUNITY COSTS
dc.subjectNUTRITION
dc.subjectECONOMIC THEORY
dc.subjectECONOMICS
dc.subjectPRIMARY HEALTH CARE
dc.subjectINTERNET
dc.subjectMANAGEMENT
dc.subjectHEALTH CARE CENTERS
dc.subjectHEALTH SYSTEM
dc.subjectWEIGHT
dc.subjectPHYSICIANS
dc.subjectLOW INCOME
dc.subjectTHEORY
dc.subjectCHILDREN
dc.subjectEVALUATION
dc.subjectRISK
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectSUPPLY
dc.subjectCOOPERATION
dc.subjectREHABILITATION
dc.subjectPOPULATION
dc.subjectSTRATEGY
dc.subjectNEWBORN HEALTH
dc.subjectFEES
dc.subjectCHILD HEALTH SERVICES
dc.subjectMEDICINES
dc.subjectHOSPITALS
dc.subjectOUTCOMES
dc.subjectBIRTH ATTENDANT
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectIMPLEMENTATION
dc.subjectPREGNANCY
dc.subjectPROVIDER PAYMENT
dc.subjectFINANCIAL INCENTIVES
dc.subjectABSENTEEISM
dc.subjectHEALTH WORKERS PERFORMANCE
dc.subjectHUMAN DEVELOPMENT
dc.titleEvaluating the Impact of Results-Based Financing on Health Worker Performanceen
dc.title.subtitleTheory, Tools and Variables to Inform an Impact Evaluationen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.date.disclosure2015-07-23
okr.date.doiregistration2025-05-05T12:37:00.454698Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/2015/07/24819487/evaluating-impact-results-based-financing-health-worker-performance-theory-tools-variables-inform-impact-evaluation
okr.globalpracticeHealth, Nutrition, and Population
okr.guid720811468188378589
okr.identifier.externaldocumentum090224b083020416_1_0
okr.identifier.internaldocumentum24819487
okr.identifier.report98269
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/07/23/090224b083020416/1_0/Rendered/PDF/Evaluating0the0an0impact0evaluation.pdfen
okr.topicLaw and Development::Health Law
okr.topicSocial Protections and Labor::Labor Policies
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.unitHealth, Nutrition, and Population (HNP) Family of the World Bank's Human Development Network (HDN)
relation.isAuthorOfPublication93fbba08-78c1-59a5-a47c-5ac21fa1a1d5
relation.isAuthorOfPublicationf0db8585-256f-5272-b725-a56ddc03f309
relation.isAuthorOfPublication.latestForDiscoveryf0db8585-256f-5272-b725-a56ddc03f309
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