Purchasing & Payment Systems
Strategic purchasing and provider payment systems enable countries to pool public funds and transfer these resources to PHC providers to deliver health services. Specifically, strategic purchasing means actively allocating funds according to providers' performance and the needs of the populations they serve. This can help countries incentivize greater quality and equity within the system, a stronger focus on primary care as the first contact, more efficient use of resources, and better integration of individuals' health care and public health.
The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.
The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.
Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.
Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.
People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.
First Contact Accessibility
The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.
Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.
Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.
The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.
The below indicators are from WHO/UNICEF's Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens. Metadata links are provided for the full WHO/UNICEF technical specifications.
Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.
Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.
Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.
Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.
The explainer graphic below presents a quick overview of the concept of Purchasing & Payment Systems. View the full Improvement Strategy on Purchasing and Payment Systems to learn more.
Potential Funding opportunities
Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.