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Review
. 2021 Mar 31:10:84.
doi: 10.4103/jehp.jehp_290_20. eCollection 2021.

Strategic purchasing and the performance of health-care systems in upper middle income countries: A comparative study

Marziye Hadian  1 , Elaheh Mazaheri  2 , Alireza Jabbari  3
Affiliations
Review

Strategic purchasing and the performance of health-care systems in upper middle income countries: A comparative study

Marziye Hadian et al. J Educ Health Promot. .

Abstract

Background: Providing financial resources for health services is one of the most important issues in the study of health systems, of which purchasing health services is very essential. The World Health Organization considers strategic purchasing as a key option for improving the performance of health systems. The aim of this study was to identify payment methods for service providers and strategic purchasing strategies in upper middle income countries.

Materials and methods: The present study was conducted in the form of a comparative analysis involving comprehensive surveys from 2000 to 2019, by searching keywords for the objective of the study by the search engines through databases including ProQuest, PubMed, Google Scholar, Irandoc, SID, Magiran, Science Direct, Scopus, ISI Web of Science, EBSCO, and Cochrane.

Results: A total of five upper middle income countries that used strategic purchases entered the study. Overall, all of them implemented rather similar strategies in terms of strategic purchasing and paying to the providers of the services.

Conclusion: According to the results of this study, per capita payment for primary health-care and outpatient services seems to be the best option for controlling the costs of the health sector, while the appropriate option for the inpatient department is the most common use of diagnosis-related group. The payment method is to control the costs of the inpatient department.

Keywords: Health system; payment method; strategic purchasing; strategy.

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Conflict of interest statement

There are no conflicts of interest.

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References

    1. World Health Organization the World Health Report 2000. Health System: Improving Performance. Geneva: World Health Organization; 2000.
    1. Mathauer I, Wittenbecher F. Hospital payment systems based on diagnosis-related groups: Experiences in low- and middle-income countries. Bull World Health Organ. 2013;91:746–756A. - PMC - PubMed
    1. González-Block MÁ Alarcón Irigoyen J, Figueroa Lara A, Ibarra Espinosa I, Cortés Llamas N. The strategic purchasing of health services: A big opportunity for the National Universal Health System. Gac Med Mex. 2015;151:278–80. - PubMed
    1. Joint Learning Network; Mongolia Ministry of Health; World Bank; World Health Organization. Implications for equity, efficiency and universal health Coverage: A report [2015] Washington, DC: World Bank; 2016.
    1. Ogundeji YK, Bland JM, Sheldon TA. The effectiveness of payment for performance in health care: A meta-analysis and exploration of variation in outcomes. Heal Pol. 2016;120:1141–50. - PubMed