Noncommunicable diseases (NCDs) have become the major cause of disease burden in the Philippines. In 2019, NCDs accounted for about 70 percent of the 600,000 deaths nationwide; this is projected to increase in the medium to long term. The premature deaths due to NCDs are increasing in a much...

Subsidized primary care and community health worker (CHW) visits are important demand side policies in the effort to achieve universal health care for children under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. This paper reports the effects...

Subsidized primary care and community health worker (CHW) visits are important demand side policies in the effort to achieve universal health care for children under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. This paper reports the effects...

Health care providers such as hospitals and primary health care facilities form an integral part of any health system. Providers must have both financial sustainability, such that they are able to continuously deliver health care services without bankruptcy, and sufficient profits to maintain...

The introduction of digital technology has sparked new debates about the value of community health workers in low- and middle-income countries. This debate offers important insights into the conventions that are relevant in global public health. Community health workers, a workforce that was...

Health care providers such as hospitals and primary health care facilities form an integral part of any health system. Providers must have both financial sustainability, such that they are able to continuously deliver health care services without bankruptcy, and sufficient profits to maintain...

The 2019 MacKinnon report, commissioned by the Alberta government, recommended ending fee-for-service (FFS) as the model for paying primary care physicians because of its significant and inherent inefficiencies. Since then, the COVID-19 pandemic has also demonstrated the value of moving...

Primary health care (PHC) is essential care based on practical, scientifically sound, and socially acceptable methods and technologies, made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can....

Noncommunicable diseases (NCDs) have become the major cause of disease burden in the Philippines. In 2019, NCDs accounted for about 70 percent of the 600,000 deaths nationwide; this is projected to increase in the medium to long term. The premature deaths due to NCDs are increasing in a much...

In this paper, we explore the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medicare Part B. Controlling for physician, practice, and area characteristics as well as zip...

Introduced as part of the War on Poverty, Community Health Centers (CHCs) deliver primary care to underserved populations by locating sliding-scale clinics in economically disadvantaged areas. We investigate how this policy affected infant health using the rollout of CHCs and a flexible event...

Health systems globally face increasing morbidity and mortality from chronic disease, yet many--especially in low- and middle-income countries--lack strong primary care. We analyze China's efforts to promote primary care management for insured rural Chinese with chronic disease, analyzing unique...

Background: Disparity in resource allocation is an issue among various health delivery units in Ethiopia. To sufficiently address this problem decision-makers require evidence on efficient allocation of resources. Therefore, the purpose of this study was to assess the technical efficiency of...

This report aims to provide insights into how health services are delivered at the grassroots level to support the expansion of access to quality health services in Vietnam with a focus on primary health care (PHC). It intends to identify any challenges in this area and emphasize the importance...

Health indicators in the Philippines currently lag well behind what will be expected given the country's level of economic development. Immunization rates are at their lowest point in 10 years, maternal mortality remains very high, one in three Filipino children suffer from malnutrition, and the...

Turkey has realized a very successful health reform between 2003 and 2013. The Ministry of Health (MoH) has developed strategic objectives and major transformation processes under the reform primarily focused on people and gave priority to improve and reshape the primary care structure through...

Background: By performing case management, general practitioners and health care assistants can provide additional benefits to their chronically ill patients. However, the economic effects of such case management interventions often remain unclear although how to manage the burden of chronic...

There is limited information on whether integrating childhood interventions with health and nutrition services interventions is effective and feasible. In this trial we used group delivery at five routine visits from age 3-18 months, and comprised: short films of child development messages,...

This paper investigates the consequences that patients face when their regular primary care provider closes down her practice, typically due to retirement. We estimate the causal impact of closures on patients' utilization patterns, medical expenditures, hospitalizations, and health plan choice....

Primary health care in Brazil is well-organised, the result of sustained commitment to providing high quality primary health care for the whole population. Brazil has implemented a set of reforms over the past decades to improve the distribution of doctors, develop new forms of service...

Romania faces high levels of amenable mortality reflecting, in part, the relatively low utilization rates of high-quality primary health care (PHC), particularly for non-communicable disease (NCD) prevention and treatment. Provider payment mechanisms do not reward the high-quality care provision...

We study the political effects of mass emigration to the United States in the 19th century using data from Sweden. To instrument for total emigration over several decades, we exploit severe local frost shocks that sparked an initial wave of emigration, interacted with within-country travel...

Policies aimed to spur quality competition among health care providers are ubiquitous, but their impact on quality is ex ante ambiguous. This study contributes to the sparse empirical literature on primary care quality by examining the heterogeneous impact of recent competition enhancing reforms...

Consumer choice of services that are financed by a third party may improve the matching of consumers and providers, and spur competition over quality dimensions relevant to consumers. However, in markets characterized by information frictions and switching costs, the gains from choice may fail...

This study exploits policy reforms in Swedish primary care to examine the effect of pay-for-performance (P4P) on compliance with hypertension drug guidelines among public and private health care providers. Providers in regions with P4P are compared to providers in other regions in a...

We study spillover effects of the largest ever increase in Medicaid primary care reimbursement rates on behavioral health and healthcare outcomes; mental illness, substance use disorders, and tobacco product use. Much of the variation in Medicaid reimbursement rates we leverage is attributable...

We study spillover effects from the largest increase in Medicaid reimbursement rates in the history of the program for primary care services to behavioral health and healthcare outcomes; mental illness, substance use disorders, and tobacco product use. Much of the variation in Medicaid...

Using the World Management Survey method, we map and analyse management quality in Swedish primary care centres. On average, private providers have higher management quality than public ones. We also find that centres with a high overall social deprivation among enrolled patients tend to have...

This chapter describes and seeks to take stock of a cluster of supply-side reforms that aimed to revitalize what was described by the Croatian Public Health Institute as a passive and low-impact primary care system. The cluster of reforms, which include a mix of organizational, primary care...