BACKGROUND Pay for performance schemes are increasingly being implemented in low income countries to improve health service coverage and quality. This paper describes the context within which a pay for performance programme was introduced in Tanzania and discusses the potential for pay for performance to address health system constraints to meeting targets. METHOD 40 in-depth interviews and f...

BACKGROUND Much of chronic disease is managed in primary care and chronic kidney disease (CKD) is a recent addition. We are conducting a cluster randomised study of quality improvement interventions in CKD (QICKD) - Clinical Trials Registration: ISRCTN56023731. CKD registers have a lower than expected prevalence and an initial focus group study suggested variable levels of confidence in managin...

PURPOSE OF THE STUDY To examine how Medicaid capital reimbursement policy is associated with nursing homes (NHs) having high proportions of private rooms and small households. DESIGN AND METHODS Through a 2009/2010 NH national survey, we identified NHs having small households and high proportions of private rooms (≥76%). A survey of state Medicaid officials and policy document review provided...

The pace of organisational change within the National Health Service over the last two decades has been bewildering. Yet for all that, the rituals and routines of day-today general practice have seemed to endure without significant alteration. By contrast, the impact of the Quality and Outcomes Framework (QOF) has, arguably, exceeded that of any other policy development since the Family Doctors...

P4P is the reimbursement incentive that is based on quality improvement, efficiency, which is dominating the healthcare landscape and CMS. A literature review was conducted to search for and review significant information regarding P4P and how it pertains to chronic conditions and reimbursement methods. This literature review displayed while some programs were able to display a benefit/ profit ...

Purpose This paper employs implementation theory and the political literature on performance measurement to understand how frontline health workers know, participate evaluate Brazilian National Program for Improving Access Quality of Primary Care (PMAQ, 2nd round). Design/methodology/approach develops an theory-driven qualitative analysis. The research is developed in city Goiania (Brazil): a c...