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The Australian Development Gateway (ADG) strives to support members of the development community in their efforts to reduce poverty and enhance sustainable development in the Asia Pacific region. The site has been created with participation from members of government, private, academia and non-government organisations. User feedback mechanisms have been incorporated to guide future directions of the site. The site is optimised for low bandwidth access to enable the widest participation throughout the Asia Pacific region.

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Secondary and tertiary health care

Are incentives everything? Payment mechanisms for health care providers in developing countries (pdf 61kb)

This paper assesses the extent to which provider payment mechanisms can help developing countries address their leading health care problems.

It explores this issue in relation to four key problems in the health care systems of developing countries:

- Public health facilities, which provide the bulk of secondary and tertiary health care services in most countries
- Unequal access to health services between rural and urban areas
- The poor composition of health services
- Poor coordination in the delivery of care, including referrals, second opinions, and teamwork

The paper examines each problem in turn and assesses the extent to which changes in provider payments might help address it.

 

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