Analysis of 3 Financial Models in the Health System: Pay-for-Performance, Results-Based-Budgeting, Capitation

In the field of health economics, there are constant challenges to balance the quality of health care with efficiency in financial management, making financial models essential in the allocation of resources in the health system. The models used were Pay-for-Performance, Results-Based Budgeting and Capitation. Each model has its own focus: Pay for Performance incentivizes quality and efficiency, Results-Based Budgeting allocates resources based on health outcomes, and Capitation involves fixed payments per enrolled patient. The benefits and challenges of each model are examined, highlighting differences in levels of financial risk, equity in resource allocation, promotion of preventive care, and alignment with health care objectives. It is concluded that there is no single ideal model, and its effectiveness depends on the specific context of each health system. The importance of maintaining a patient-centered approach and promoting collaboration to find effective solutions that ensure an equitable and efficient health system is highlighted.

Authors

Institutions

Publication Details

Journal
Asian Journal of Medicine and Health
Published
2024-12-20
DOI
https://doi.org/10.9734/ajmah/2024/v22i121147
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Analysis of 3 Financial Models in the Health System: Pay-for-Performance, Results-Based-Budgeting, Capitation

Olga Rocío Flores Chávez, María del Carmen López Zermeño, Josefina Reynoso Vázquez, Jesús Carlos Ruvalcaba Ledezma et al.
Asian Journal of Medicine and Health
Healthcare Policy and Management
article

Analysis of 3 Financial Models in the Health System: Pay-for-Performance, Results-Based-Budgeting, Capitation

Olga Rocío Flores Chávez, María del Carmen López Zermeño, Josefina Reynoso Vázquez, Jesús Carlos Ruvalcaba Ledezma, Dávid Becker, Beatriz Garnica Guerrero, Miguel Ángel Martínez Sedano, Pamela Nairobi Gutiérrez López
article en

Abstract

In the field of health economics, there are constant challenges to balance the quality of health care with efficiency in financial management, making financial models essential in the allocation of resources in the health system. The models used were Pay-for-Performance, Results-Based Budgeting and Capitation. Each model has its own focus: Pay for Performance incentivizes quality and efficiency, Results-Based Budgeting allocates resources based on health outcomes, and Capitation involves fixed payments per enrolled patient. The benefits and challenges of each model are examined, highlighting differences in levels of financial risk, equity in resource allocation, promotion of preventive care, and alignment with health care objectives. It is concluded that there is no single ideal model, and its effectiveness depends on the specific context of each health system. The importance of maintaining a patient-centered approach and promoting collaboration to find effective solutions that ensure an equitable and efficient health system is highlighted.

Asian Journal of Medicine and HealthVol. 22(12)
Universidad de Guadalajara (MX)
Openalex Percentile: Top 71%
Healthcare Policy and Management
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Analysis of 3 Financial Models in the Health System: Pay-for-Performance, Results-Based-Budgeting, Capitation — Olga Rocío Flores Chávez, María del Carmen López Zermeño, et al. · Asian Journal of Medicine and Health (2024) | TGRS Research Map | TGRS