Performance incentives for health in high-income countries key issues and lessons learned
Background Paper, 32

Overview
During the last decade several new types of health provider performance incentive schemes have emerged under designations such as "Pay-for-Performance (P4P)", "Results Based Financing", "Performance Based Financing" or "Performance Based Contracting". First adopted in highincome countries, these schemes have received growing attention in low- and middle-income countries where performance incentives are advocated as a means to improving key health indicators and increase access to care.
This report is part of a series, The World Health Report 2010 Background Papers, which were written to inform the process of developing the key messages of the World Health Report 2010: Health systems financing: The path to universal coverage.