[Pay for performance in Colombian healthcare].
OBJECTIVE
Describing the extent and forms of use of pay for performance (P4P) in Colombian healthcare.


METHODS
This was a descriptive study based on interviews and surveys of health insurance agency managers in Bogotá, Colombia. The authors relied on transaction cost theory to interpret the results.


RESULTS
P4P was found to be used by contribution scheme insurers in an outpatient setting, basically in promotion and prevention; P4P is not being used in a hospital setting. Subsidized scheme insurers do not use P4P. Similarly, P4P is not being used in the case of so called associated users.


CONCLUSIONS
P4P use in Colombia is limited. Colombian practice only partially validates the transaction costs theory approach to governance model attributes, one of which is incentive intensity.
Departamento de Administracion, Facultad de Ciencias Económicas y Administrativas, Pontificia Universidad Javeriana. yurigor@javeriana.edu.co
Iouri
I
Gorbanev
Ariel
A
Cortes
Sergio
S
Torres
Francisco
F
Yepes
D000553:Ambulatory Care / Q000191:economics; D003105:Colombia; D003284:Contract Services / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics; D004469:Economics, Hospital / Q000706:statistics & numerical data; D006293:Health Promotion / Q000191:economics; D006801:Humans; D007343:Insurance Carriers / Q000191:economics; D007348:Insurance, Health / Q000191:economics; D018803:Models, Economic; D008962:Models, Theoretical; D010816:Physician Incentive Plans / Q000191:economics; D012052:Reimbursement, Incentive / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D011795:Surveys and Questionnaires