Final report- Regional Forum on Provider Mechanisms (Lima, Peru, 16-17 november, 1998)



614.0980 / O768i.r.5i

Organización Panamericana de la Salud

Final report- Regional Forum on Provider Mechanisms (Lima, Peru, 16-17 november, 1998) . -- Washington: OPS: Oficina Regional de Desarrollo Sostenible. Oficina para América Latina y el Caribe (USAID), 1999. 47 p. ; 28 cm. (LAC HSR Health sector reform initiative = LAC RSS Iniciativa Reforma Sector Salud 5)

Título en español: Informe de relatoría Foro Regional sobre Mecanismos de Pago a Proveedores. (Lima, Perú, 16-17 noviembre, 1998)

1. Introduction. 2. Framework. 3. Characterization and criteria for evaluation. What are payment mechanisms? Description of the payment mechanisms. Physician Payment Mechanisms. Hospital Payment Mechanisms. A simple analytical model. The First Dimension: The Unit of Payment. The Second Dimension: Financial Risk. Inequality of health costs. Differentiation of products, costs, and prices. Distribution of financial risks. Payment mechanisms and incentives. Payments to Physicians. Fee-for-service. Salary. Capitation. Payment to Hospitals. Per diem. Per admission. Budget. 4. Conclusions and a proposal for technical cooperation. Problems identified and recommendations from the working groups. Identification of Problems. The Impact of Payment Mechanisms. Identification of Obstacles. A proposal for technical cooperation. Study and Design of Payment Mechanisms. Strengthening the Steering Role of the State in regard to Payment Mechanisms. Monitoring of Processes and Impact Evaluation. Exchange of Information. Annex A: agenda. Anex B: List of participants.


Salud pública - --Finanzas--América Latina y el Caribe