Pay for performance

Pay for performance (P4P) is increasingly used as an innovative tool intended to improve efficiency and service quality in health systems around the world.  Evidence is limited, however, that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes. This book uses 12 case studies from P4P programmes in OECD countries to explore the many questions surrounding the design and implementation of P4P programs and examines the supporting systems and process, in addition to incentives, that are necessary to drive and sustain performance improvement. 

The new Observatory study is published by Open University Press and is now downloadable from this site.