Purchasing for Quality Chronic Care
Summary Report
Countries are seeking ways to strengthen their financing systems to promote access
to quality health services under their commitments to Universal Health Coverage. Chronic
conditions account for a large burden of premature mortality, and gaps exist in patient
receipt of recommended quality care. The objective of this publication is to describe
experiences in purchasing arrangements and payment methods and how they have been
used to attain quality of care and health outcomes for chronic conditions.
The publication builds on the existing body of empirical evidence and newly commissioned
case studies from Australia, Canada, Chile, China, Germany, Indonesia, South Africa,
and Spain to better understand the design of different purchasing arrangements that
aim to promote quality for chronic disease care. We identify lessons learned in alignment
of payment methods with service delivery models, key design issues in quality and
payment, supporting purchasing policies, and monitoring and evaluation. Recognising
that no single model is applicable to all settings, the publication aimed to share
lessons learned and best practices and identify areas for future research, particularly
in low- and middle-income settings.
Published on October 16, 2023