Analyse de l’introduction du financement basé sur les résultats et son apport au Burkina Faso.

IF 0.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2025-01-01 DOI:10.3917/spub.252.0219

Seydou Traoré, Samira Guennif, Léon G Blaise Savadogo

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引用次数: 0

Abstract

Introduction: Results-based financing (RBF) was presented by its advocates as an effective tool for improving Burkina Faso's health care system, and an essential step toward implementing universal health coverage (UHC) in the country. It was initially introduced in 2011, and suspended in 2018.

Purpose of the study: Using a conceptual framework built around the triptych of the causes, mechanisms, and outcomes of institutional change, we sought to understand how RBF was introduced in Burkina Faso, and how it contributed to the country's drive to implement UHC.

Results: RBF was perceived as an external policy, essentially advocated by the World Bank. It relied on a group of actors operating outside the organizational structure of the Ministry of Health. Its impact on health indicators and the health care system has been mixed, and it has not enabled the country to put itself on a path to implementing UHC. It was not adopted by the key actors in the health care system, which is why it was discontinued without being rolled out at the national level.

Conclusions: This study highlights the need to take the local context into account when designing and implementing health care programs.

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分析在布基纳法索采用基于成果的筹资及其贡献。

导言：成果融资（RBF）的倡导者将其视为改善布基纳法索卫生保健系统的有效工具，也是在该国实施全民健康覆盖（UHC）的重要步骤。它最初于2011年推出，并于2018年暂停。研究目的：利用围绕制度变革的原因、机制和结果三要素构建的概念框架，我们试图了解RBF是如何在布基纳法索引入的，以及它如何推动该国实施全民健康覆盖。结果：RBF被认为是一项外部政策，主要由世界银行倡导。它依靠在卫生部组织结构之外运作的一组行为者。它对卫生指标和卫生保健系统的影响参差不齐，也没有使该国走上实施全民健康覆盖的道路。它没有被卫生保健系统中的关键行为体采用，这就是为什么它没有在国家一级推广就被中止的原因。结论：本研究强调了在设计和实施卫生保健计划时考虑当地情况的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc