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Health Systems in Low- and Middle-Income CountriesAn economic and policy perspective$
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Richard D. Smith and Kara Hanson

Print publication date: 2011

Print ISBN-13: 9780199566761

Published to Oxford Scholarship Online: January 2012

DOI: 10.1093/acprof:oso/9780199566761.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 12 November 2019

Delivering health services: incentives and information in supply-side innovations

Delivering health services: incentives and information in supply-side innovations

Chapter:
(p.102) (p.103) Chapter 5 Delivering health services: incentives and information in supply-side innovations
Source:
Health Systems in Low- and Middle-Income Countries
Author(s):

Kara Hanson

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199566761.003.0044

This chapter focuses on supply-side innovations in delivering health services, and their impact. It begins with an overview of incentives in organizations, located in the conceptual framework of principal-agent theory. It then examines four major types of reform, framing them in terms of a principal agent model which interprets these reforms as measures designed to align more closely the incentives of government and providers; and reviewing the current evidence about their effectiveness. The conclusions highlight the challenges of introducing stronger incentives for health care provider performance in the context of information problems, and the implications for both broader system performance and for the evaluation of such interventions.

Keywords:   health service delivery, principal agent theory, incentives, health system reform, health care provider performance

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