Cochrane · systematic review · CD011153

Payment methods for outpatient care facilities

Yuan, B, He, L, Meng, Q, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
17
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 7 · 41.2%Very low 3 · 17.6%Low 4 · 23.5%Moderate 3 · 17.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

P4P plus some existing payment method compared with existing payment method for provision and patient outcomes

Population: outpatient health facilities
7 questions
OutcomeEffectEvidenceStatus / GRADE
Provision outcomes (prescription of testing or treatment, dichotomous)
P4P plus some existing payment method vs existing payment method
no estimate extracted3 participantsModerate
Provision outcomes (compliance with quality criteria, continuous)
P4P plus some existing payment method vs existing payment method
no estimate extracted2 participantsModerate
Patients' utilisation of health services (dichotomous)
P4P plus some existing payment method vs existing payment method
no estimate extracted3 participantsLow
Patients' health outcomes (dichotomous)
P4P plus some existing payment method vs existing payment method
no estimate extracted1 participantsLow
Provider outcomes
P4P plus some existing payment method vs existing payment method
no estimate extracted0 participantsUngraded
Costs
P4P plus some existing payment method vs existing payment method
no estimate extracted1 participantsLow
Adverse effects
P4P plus some existing payment method vs existing payment method
no estimate extracted1 participantsLow

Capitation plus P4P compared with FFS for provision improvement

Population: primary healthcare facilities in rural areas
5 questions
OutcomeEffectEvidenceStatus / GRADE
Provision outcomes
Capitation plus P4P vs FFS
no estimate extracted1 participantsModerate
Patient outcomes
Capitation plus P4P vs FFS
no estimate extracted0 participantsUngraded
Provider outcomes
Capitation plus P4P vs FFS
no estimate extracted0 participantsUngraded
Costs
Capitation plus P4P vs FFS
no estimate extracted0 participantsUngraded
Adverse effects
Capitation plus P4P vs FFS
no estimate extracted0 participantsUngraded

Capitation compared with FFS for provision, patient, and cost outcomes

Population: mental health centres
5 questions
OutcomeEffectEvidenceStatus / GRADE
Provision outcomes (number of children treated as outpatients or for disruptive behaviour, or the number of very young children treated, continuous)
Capitation vs FFS
no estimate extracted1 participantsVery low
Patient outcomes (number of children in inpatient or emergency treatment, continuous)
Capitation vs FFS
no estimate extracted2 participantsVery low
Cost outcomes (cost level, continuous)
Capitation vs FFS
no estimate extracted1 participantsVery low
Provider outcomes
Capitation vs FFS
no estimate extracted0 participantsUngraded
Adverse effects
Capitation vs FFS
no estimate extracted0 participantsUngraded