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[Pay for performance in Colombian healthcare]
Iouri Gorbanev1, Ariel Cortes, Sergio Torres
1Departamento de Administracion, Facultad de Ciencias Económicas y Administrativas, Pontificia Universidad Javeriana. yurigor@javeriana.edu.co
Objective:
Describing the extent and forms of use of pay for performance (P4P) in Colombian healthcare.
Methods:
This was a descriptive study based on interviews and surveys of health insurance agency managers in Bogotá, Colombia. The authors relied on transaction cost theory to interpret the results.
Results:
P4P was found to be used by contribution scheme insurers in an outpatient setting, basically in promotion and prevention; P4P is not being used in a hospital setting. Subsidized scheme insurers do not use P4P. Similarly, P4P is not being used in the case of so called associated users.
Conclusions:
P4P use in Colombia is limited. Colombian practice only partially validates the transaction costs theory approach to governance model attributes, one of which is incentive intensity.
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