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Guest editorial

Guest editorial Policy challenges and innovative analyses of payment for performance in health care There has been significant interest in the use of payment for performance in health care worldwide – both by policymakers and by academics. There are many evaluations of schemes but the majority of them have focussed on a specific country or on countries from the same region or level of income (Saddi et al., 2018; Anselmi et al.,2020). In high-income countries (HICs), we have seen a long period of valorisation of the effect of outcomes; with only a few studies recently looking at the policy process and more comprehensive evidence (Forbes et al., 2017; Roland and Guthrie, 2016; Smith and Cumming, 2017). Those studies have brought new knowledge with respect to the role played by policy entrepreneurs (Smith and Cumming, 2017), to challenges faced at the front line by general practitioners and administrative staff members (Roland and Guthrie, 2016), and to lack of evidence of effect on the health of the population (Forbes et al.,2017). In HICs, comparative analysis between countries with same level of income is rare and consists of a relevant gap as well. It might seem contradictory, but, comparatively, more studies examining a wider http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Health Organisation and Management Emerald Publishing

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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1477-7266
DOI
10.1108/jhom-05-2021-476
Publisher site
See Article on Publisher Site

Abstract

Policy challenges and innovative analyses of payment for performance in health care There has been significant interest in the use of payment for performance in health care worldwide – both by policymakers and by academics. There are many evaluations of schemes but the majority of them have focussed on a specific country or on countries from the same region or level of income (Saddi et al., 2018; Anselmi et al.,2020). In high-income countries (HICs), we have seen a long period of valorisation of the effect of outcomes; with only a few studies recently looking at the policy process and more comprehensive evidence (Forbes et al., 2017; Roland and Guthrie, 2016; Smith and Cumming, 2017). Those studies have brought new knowledge with respect to the role played by policy entrepreneurs (Smith and Cumming, 2017), to challenges faced at the front line by general practitioners and administrative staff members (Roland and Guthrie, 2016), and to lack of evidence of effect on the health of the population (Forbes et al.,2017). In HICs, comparative analysis between countries with same level of income is rare and consists of a relevant gap as well. It might seem contradictory, but, comparatively, more studies examining a wider

Journal

Journal of Health Organisation and Management – Emerald Publishing

Published: May 5, 2021

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