Payment by Results in the UK: Progress to date and future directions for evaluation

Battye, Fraser

doi:10.1177/1356389015577464

Cited by 13 publications

(8 citation statements)

References 3 publications

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“…As a result, empirical evidence and validated success stories have been lacking in past years, and this has led to substantial debates about the sustainability of alternative pricing and reimbursement processes [ 7 , 22 ]. However, details of and results from RSAs that were originally not publically available are now beginning to emerge [ 52 , 65 ], enabling this study.…”

Section: Discussionmentioning

confidence: 99%

Risk-Sharing Agreements in the EU: A Systematic Review of Major Trends

Piatkiewicz

Traulsen

Holm-Larsen

2017

PharmacoEconomics Open

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ObjectiveOur objectives were to explore the changes in the level of interest in risk-sharing agreements (RSAs) in the EU during the last 15 years and the underlying reasons for these changes.MethodsA systematic literature review was conducted using PubMed, Scopus, Web of Science, and Embase. Articles identified were divided into ‘quantitative articles’ used to establish the level of interest and ‘qualitative articles’ used to identify the underlying trends in RSAs.ResultsThe literature search retrieved 2144 scientific articles. Data were extracted from 238 articles. Of these, 100 contained quantitative data and 138 contained qualitative data. The pace of articles being published about RSAs grew significantly in 2015, which related to the increase in interest in and knowledge about RSAs. The underlying reasons for the fluctuations were condensed into four overall themes: (1) push for value-based pricing, (2) economic crisis and further push to contain costs, (3) criticism of RSAs in the real world, and (4) diversification of RSAs to fit the purpose.ConclusionThe overall level of interest in RSAs in the EU has been increasing since 2000; therefore, articles reporting the number of RSAs implemented and case studies have been steadily growing as evidence is becoming more readily available. The number of qualitative articles reporting and discussing the underlying reasons for these changes in interest has largely fluctuated over the last 15 years. Despite these fluctuations, interest in RSAs remains high.Electronic supplementary materialThe online version of this article (doi:10.1007/s41669-017-0044-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Risk-Sharing Agreements in the EU: A Systematic Review of Major Trends

Piatkiewicz

Traulsen

Holm-Larsen

2017

PharmacoEconomics Open

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“…The evidence gaps identified in our literature review have led to recent calls for new approaches in the evaluation of complex public-sector reforms, such as PBF 30 , 35 , 49 , 50 . It has been argued that realist evaluation provides a valuable and relevant approach for assessing interventions that involve changing human decisions and actions 51 , 52 .…”

Section: Methodsmentioning

confidence: 99%

Characterizing performance improvement in primary care systems in Mesoamerica: A realist evaluation protocol

Munar

Wahid

Curry³

2018

Gates Open Res

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Background. Improving performance of primary care systems in low- and middle-income countries (LMICs) may be a necessary condition for achievement of universal health coverage in the age of Sustainable Development Goals. The Salud Mesoamerica Initiative (SMI), a large-scale, multi-country program that uses supply-side financial incentives directed at the central-level of governments, and continuous, external evaluation of public, health sector performance to induce improvements in primary care performance in eight LMICs. This study protocol seeks to explain whether and how these interventions generate program effects in El Salvador and Honduras. Methods. This study presents the protocol for a study that uses a realist evaluation approach to develop a preliminary program theory that hypothesizes the interactions between context, interventions and the mechanisms that trigger outcomes. The program theory was completed through a scoping review of relevant empirical, peer-reviewed and grey literature; a sense-making workshop with program stakeholders; and content analysis of key SMI documents. The study will use a multiple case-study design with embedded units with contrasting cases. We define as a case the two primary care systems of Honduras and El Salvador, each with different context characteristics. Data will be collected through in-depth interviews with program actors and stakeholders, documentary review, and non-participatory observation. Data analysis will use inductive and deductive approaches to identify causal patterns organized as ‘context, mechanism, outcome’ configurations. The findings will be triangulated with existing secondary, qualitative and quantitative data sources, and contrasted against relevant theoretical literature. The study will end with a refined program theory. Findings will be published following the guidelines generated by the Realist and Meta-narrative Evidence Syntheses study (RAMESES II). This study will be performed contemporaneously with SMI’s mid-term stage of implementation. Of the methods described, the preliminary program theory has been completed. Data collection, analysis and synthesis remain to be completed.

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“…The social impact bond (SIB) has, since its origin in 2010, spread into numerous countries worldwide and raised much attention among both scholars and practitioners [1]. A SIB is a type of public policy instrument that leverages payment for performance (P4P), contracting (Battye, 2015; Khan et al ., 2020) together with private investments to deliver welfare interventions (Albertson et al ., 2018; OECD, 2016). Features of the SIB model can be understood as a continuation of principles from the New Public Management regime (Hood, 1991), especially elements of competition and incentivization (Dunleavy et al ., 2006).…”

Section: Introductionmentioning

confidence: 99%

Barriers to social impact bond implementation: a review of evidence from the UK and US

Andersen

2023

IJPSM

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PurposeThis study investigates barriers to social impact bond (SIB) implementation through a review of academic and gray literature. A SIB is a type of public policy instrument that leverages payment for performance (P4P), contracting together with private investments in the delivery of welfare programs. Outcome-based contracts, such as SIBs, are gaining attraction for public service providers in developed countries, but research regarding their implementation remains underexplored both empirically and theoretically.Design/methodology/approachA literature review is conducted in which two types of documents are included: (1) empirical research papers and (2) evaluations of completed SIB projects. In total, 43 documents have been investigated. The study engages in a comparative design where insights across sectors (healthcare, social care and employment/education), are leveraged. The insights rest on evidence from the UK and US.FindingsThe investigation reveals five types of barriers to SIB implementation related to: (1) the SIB model, (2) organizational competencies, (3) data infrastructure, (4) stakeholder engagement and (5) the institutional context. The study discusses ways of managing these barriers and develops a conceptual framework for empirically investigating SIB implementation.Originality/valueThis study is the first academic paper to systematically assess insights regarding the implementation of SIBs. Also, the article proposes a conceptual framework for investigating SIB implementation.

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Payment by Results in the UK: Progress to date and future directions for evaluation

Cited by 13 publications

References 3 publications

Risk-Sharing Agreements in the EU: A Systematic Review of Major Trends

Risk-Sharing Agreements in the EU: A Systematic Review of Major Trends

Characterizing performance improvement in primary care systems in Mesoamerica: A realist evaluation protocol

Barriers to social impact bond implementation: a review of evidence from the UK and US

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