IDEAS home Printed from https://ideas.repec.org/a/bcp/journl/v6y2022i7p238-245.html
   My bibliography  Save this article

Strategic Health Purchasing and Health System Performance in Nigeria

Author

Listed:
  • Saheed O. Olayiwola

    (Department of Economics, Federal University of Technology, Akure, Nigeria)

  • Francis O. Adeyemi

    (Department of Economics, Precious Cornerstone University, Ibadan, Nigeria)

Abstract

Purchasing has been adopted by many countries as a mechanism to achieve greater efficiency and improved responsiveness of services to patient demands. This study examined the effects of strategic health purchasing on health system performance in Nigeria. The data for the study was collected using a purposive sampling survey in the Akure metropolis. The results indicated a positive relationship between health system performance and purchasing strategy, payment mechanism and service utilisers with the regression coefficients of 0.30, 0.16 and 0.33. This implied that purchasing strategy, payment mechanism and service utilisers are likely to improve health system performance. The results also revealed a positive relationship between each of the health system performance measurement dimensions (life expectancy, the performance of different areas of health services, distribution of access to health facilities, fairness of health financing, prompt attention to medical needs and purchasing strategy, providers payment mechanism and service utilisers. It was concluded that health system performance can be improved by the implementation of strategic health purchasing. Therefore, paying for health care services should be made strategic and rules relating to auditing and accountability should be made more effective

Suggested Citation

  • Saheed O. Olayiwola & Francis O. Adeyemi, 2022. "Strategic Health Purchasing and Health System Performance in Nigeria," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 6(7), pages 238-245, July.
  • Handle: RePEc:bcp:journl:v:6:y:2022:i:7:p:238-245
    as

    Download full text from publisher

    File URL: https://www.rsisinternational.org/journals/ijriss/Digital-Library/volume-6-issue-7/238-245.pdf
    Download Restriction: no

    File URL: https://www.rsisinternational.org/virtual-library/papers/strategic-health-purchasing-and-health-system-performance-in-nigeria/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. John C. Langenbrunner & Cheryl Cashin & Sheila O’Dougherty, 2009. "Designing and Implementing Health Care Provider Payment Systems : How-To Manuals," World Bank Publications - Books, The World Bank Group, number 13806.
    2. Alexander S. Preker & Xingzhu Liu & Edit V. Velenyi & Enis Baris, 2007. "Public Ends, Private Means : Strategic Purchasing of Health Services," World Bank Publications - Books, The World Bank Group, number 6683.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Melvin Obadha & Jane Chuma & Jacob Kazungu & Edwine Barasa, 2019. "Health care purchasing in Kenya: Experiences of health care providers with capitation and fee‐for‐service provider payment mechanisms," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 917-933, January.
    2. Chen, Chun & Dong, Weizhen & Shen, Jay J. & Cochran, Christopher & Wang, Ying & Hao, Mo, 2014. "Is the prescribing behavior of Chinese physicians driven by financial incentives?," Social Science & Medicine, Elsevier, vol. 120(C), pages 40-48.
    3. Klasa, Katarzyna & Greer, Scott L. & van Ginneken, Ewout, 2018. "Strategic Purchasing in Practice: Comparing Ten European Countries," Health Policy, Elsevier, vol. 122(5), pages 457-472.
    4. Stefan Meyer, 2015. "Payment schemes and cost efficiency: evidence from Swiss public hospitals," International Journal of Health Economics and Management, Springer, vol. 15(1), pages 73-97, March.
    5. Cavalieri, M. & Guccio, C. & Lisi, D. & Pignataro, G., 2015. "Does the Extent of Per-Case Payment System Affect Hospital Efficiency? Evidence from the Italian NHS," Health, Econometrics and Data Group (HEDG) Working Papers 15/29, HEDG, c/o Department of Economics, University of York.
    6. Camilleri, Carl & Jofre-Bonet, Mireia & Serra-Sastre, Victoria, 2018. "The suitability of a DRG casemix system in the Maltese hospital setting," Health Policy, Elsevier, vol. 122(11), pages 1183-1189.
    7. Bazyli Czyżewski & Anna Hnatyszyn-Dzikowska & Jan Polcyn, 2016. "Problems of Quantifying Public Goods in the Healthcare Sector," Gospodarka Narodowa. The Polish Journal of Economics, Warsaw School of Economics, issue 3, pages 105-125.
    8. Zakieh Ostad-Ahmadi & Miriam Nkangu & Mahmood Nekoei-Moghadam & Mohammad Heidarzadeh & Reza Goudarzi & Vahid Yazdi-Feyzabadi, 2024. "Fragmentation of payment systems: an in-depth qualitative study of stakeholders’ experiences with the neonatal intensive care payment system in Iran," Health Economics Review, Springer, vol. 14(1), pages 1-14, December.
    9. Ali Mofleh Alshahrani & Mona Y. Alsheikh, 2021. "Community Pharmacists’ Perceptions, Barriers, and Willingness for Offering Sexual and Reproductive Health Services," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    10. World Bank, 2010. "Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector," World Bank Publications - Reports 2838, The World Bank Group.
    11. World Bank, 2015. "Understanding and Monitoring Service Delivery in a Decentralizing Environment in Mongolia," World Bank Publications - Reports 24055, The World Bank Group.
    12. Hensher, Martin & Tisdell, John & Zimitat, Craig, 2017. "“Too much medicine”: Insights and explanations from economic theory and research," Social Science & Medicine, Elsevier, vol. 176(C), pages 77-84.
    13. Chen, D.L. & Levonyan, V. & Reinhart, S.E. & Taksler, G., 2014. "Do Payment Disclosure Laws Affect Industry-Physician Relationships?," Health, Econometrics and Data Group (HEDG) Working Papers 14/24, HEDG, c/o Department of Economics, University of York.
    14. Ulep, Valerie Gilbert T. & Aldeon, Melanie P. & dela Cruz, Nina Ashley O., 2013. "Multisector Strategy in Addressing Noncommunicable Diseases in the Philippines," Discussion Papers DP 2013-40, Philippine Institute for Development Studies.
    15. Fourie, Carina & Biller-Andorno, Nikola & Wild, Verina, 2014. "Systematically evaluating the impact of diagnosis-related groups (DRGs) on health care delivery: A matrix of ethical implications," Health Policy, Elsevier, vol. 115(2), pages 157-164.
    16. Omelyanovsky, Vitaly (Омельяновский, Виталий) & Avxentieva, Maria (Авксентьева, Мария) & Zheleznyakova, Inna (Железнякова, Инна) & Ignatyeva, Victoria (Игнатьева, Виктория) & Tyurina, Irina (Тюрина, И, 2018. "Improving of the Systems of Organization and Payment of Ambulatory Medical Care [Совершенствование Систем Организации И Оплаты Амбулаторной Медицинской Помощи]," Working Papers 031807, Russian Presidential Academy of National Economy and Public Administration.
    17. Jayendra Sharma, 2016. "An assessment of fiscal space for health in Bhutan," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 296-308, July.
    18. Shirin Nosratnejad & Reza Esmaeili & Jafar Sadegh Tabrizi & Alireza Mahboub‐Ahari, 2019. "Development of age‐sex adjusted capitation payment: The experience of Iranian public health complexes," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 183-193, January.
    19. Melvin Obadha & Edwine Barasa & Jacob Kazungu & Gilbert Abotisem Abiiro & Jane Chuma, 2019. "Attribute development and level selection for a discrete choice experiment to elicit the preferences of health care providers for capitation payment mechanism in Kenya," Health Economics Review, Springer, vol. 9(1), pages 1-19, December.
    20. Víctor Giménez & Jorge R. Keith & Diego Prior, 2019. "Do healthcare financing systems influence hospital efficiency? A metafrontier approach for the case of Mexico," Health Care Management Science, Springer, vol. 22(3), pages 549-559, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bcp:journl:v:6:y:2022:i:7:p:238-245. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Dr. Pawan Verma (email available below). General contact details of provider: https://rsisinternational.org/journals/ijriss/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.