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      Global Advances in Value-Based Payment and Their Implications for Global Health Management Education, Development, and Practice

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          Abstract

          Global advances in health policy reform, health system improvement and health management education and practice need to be closely aligned to successfully change national health policies and improve the performance of health care delivery organizations. This paper describes the globally acknowledged need for incentive-based organizational performance and relevant implications for health care management education (HCME) and practice. It also outlines the major rationale underlying Value-Based Payment (VBP) or Pay for Performance (P4P) health policy initiatives and their basic elements. Clearly, the major global health policy shift that is underway will likely ultimately have major impacts on the strategic and operational management and performance of health care delivery organizations. Thus, practical specific suggestions are made regarding changes that need to be introduced and strengthened in contemporary health care management education and development programs to help organizational managers in the future.

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          Most cited references3

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          Performance-based payment: some reflections on the discourse, evidence and unanswered questions.

          Performance-based payment (PBP) is increasingly advocated as a way to improve the performance of health systems in low-income countries. This study conducted a systematic review of the current literature on this topic and found that while it is a popular term, there was little consensus about the meaning or the use of the concept of PBP. Significant weaknesses in the current evidence base on the success of PBP initiatives were also found. The literature would be strengthened by multi-disciplinary case studies that present both the advantages and disadvantages of PBP, influential factors for success, and more details about the projects from which this evidence is drawn. Where possible, data from control facilities where PBP is not being implemented would be an important addition. This paper suggests a further agenda for research, including assessing optimal conditions for implementation of PBP schemes in less developed health systems, the impact of adopting measures of performance as targets, and the requirements for monitoring PBP adequately.
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            The effectiveness of payment for performance in health care: A meta-analysis and exploration of variation in outcomes.

            Pay for performance (P4P) incentive schemes are increasingly used world-wide to improve health system performance but results of evaluations vary considerably. A systematic analysis of this variation in the effects of P4P schemes is needed.
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              Globalization of performance improvement and approaches in health organizations: implications for health management education and practice in the United States and Taiwan

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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                18 January 2019
                2018
                : 6
                : 379
                Affiliations
                [1] 1Department of Health Management and Policy, Saint Louis University , St. Louis, MO, United States
                [2] 2Taipei Beitou Hospital , New Taipei, Taiwan
                [3] 3Department of Health Services Administration and Policy, Temple University , Philadelphia, PA, United States
                Author notes

                Edited by: Ulrich Laaser, Bielefeld University, Germany

                Reviewed by: Jason Scott Turner, Rush University, United States; Allen C. Meadors, Independent Researcher, North Carolina, United States

                *Correspondence: Michael A. Counte countem@ 123456slu.edu

                This article was submitted to Public Health Education and Promotion, a section of the journal Frontiers in Public Health

                Article
                10.3389/fpubh.2018.00379
                6345717
                30713838
                613c49bb-739e-4418-b755-41f828e24055
                Copyright © 2019 Counte, Howard, Chang and Aaronson.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 11 July 2018
                : 20 December 2018
                Page count
                Figures: 2, Tables: 0, Equations: 0, References: 19, Pages: 7, Words: 5129
                Categories
                Public Health
                Curriculum, Instruction, and Pedagogy

                hospital performance,hospital quality,value-based payment,health care management education,healthcare costs,pay for performance,health policy

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