Primary Health Services : Output-Based Contracting to Lift Performance in Romania

In 1994 the Romanian government introduced a pilot scheme of output-based contracts to develop the independent provision of primary health services, to increase the share of health spending going to preventive care, and to improve access to health services, especially in rural areas. To achieve these objectives, the scheme relied on output-based financial incentives and competition between doctors for patients. With modifications based on lessons from the pilot, the scheme has now been extended across the entire country.

Bibliographic Details

Main Authors:	Vladescu, Cristian, Radulescu, Silviu
Language:	English
Published:	World Bank, Washington, DC 2001-09
Subjects:	CANCER, CAPITATION, CHILD DEVELOPMENT, DISTRICTS, DOCTORS, EMPLOYMENT, FIXED COSTS, GENERAL PRACTITIONERS, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE PROVIDERS, HEALTH INSURANCE, HEALTH OUTCOMES, HEALTH POLICY, HEALTH SECTOR, HEALTH SERVICES, HOSPITAL ADMISSIONS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITALS, IMMUNIZATION, INCOME, INFANTS, INTERVENTION, MEDICAL EDUCATION, MONITORING MECHANISMS, NURSES, PATIENTS, PHYSICIANS, PREGNANCY, PRIMARY CARE, PRIVATE SECTOR, PROGNOSIS, PROSTATE CANCER, PUBLIC HEALTH, RURAL AREAS, SCHOOLS, SCREENING, SPECIALISTS, TOWNS, URBAN AREAS, VACCINATIONS PRIMARY HEALTH CARE COSTS, PRIMARY HEALTH CARE EVALUATION, PRIMARY HEALTH CARE MANAGEMENT, PREVENTIVE HEALTH CARE, ACCESS TO HEALTH CARE, FINANCIAL INCENTIVES, COMPETITIVENESS, PAYMENTS SYSTEMS, IMMUNIZATION COSTS, SERVICE QUALITY,
Online Access:	http://documents.worldbank.org/curated/en/2001/09/1764496/primary-health-services-output-based-contracting-lift-performance-romania https://hdl.handle.net/10986/11366
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