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BibTeX
How is the discourse of performance-based financing shaped at the global level? A poststructural analysis
Globalization and health, 2019-01, Vol.15 (1), p.6-6, Article 6
Gautier, Lara
De Allegri, Manuela
Ridde, Valéry
2019
Details
Autor(en) / Beteiligte
Gautier, Lara
De Allegri, Manuela
Ridde, Valéry
Titel
How is the discourse of performance-based financing shaped at the global level? A poststructural analysis
Ist Teil von
Globalization and health, 2019-01, Vol.15 (1), p.6-6, Article 6
Ort / Verlag
England: BioMed Central Ltd
Erscheinungsjahr
2019
Link zum Volltext
Quelle
EZB-FREE-00999 freely available EZB journals
Beschreibungen/Notizen
Performance-based financing (PBF) in low- and middle-income settings has diffused at an unusually rapid pace. While many studies have looked at PBF implementation processes and effects, there is an empirical research gap investigating the ways PBF has diffused. Discursive processes are paramount elements of policy diffusion because they explain the origins of essential elements of the political debate on PBF. Using Bacchi's poststructural approach that emphasises problem representations embedded in the discourse, the present study analyses the construction of the global discourse on PBF. A rich corpus of qualitative data (57 in-depth interviews and 10 observation notes) was collected. The transcribed material was coded using QDAMiner©. Codes were assembled to populate analytical categories informed by the framework on diffusion entrepeneurs and Bacchi's poststructural approach. Our results feature problem representations shaped and spread by PBF global diffusion entrepreneurs. We explain how these representations reflected diffusion entrepreneurs' own belief systems and interests, and conflicted with those of non-diffusion entrepreneurs. This research also reveals the specific strategies global diffusion entrepreneurs engaged in to effectively diffuse PBF, through reflecting problem representations based on the discourse on PBF, and inducing certain forms of policy experimentation, emulation, and learning. Bacchi's poststructural approach is useful to analyse the construction of global health problem representations and the strategies set by global diffusion entrepreneurs to spread these representations. Future research is needed to investigate the belief systems, motivations, resources, and strategies of actors that shape the construction of global health discourses.
Sprache
Englisch
Identifikatoren
ISSN: 1744-8603
eISSN: 1744-8603
DOI: 10.1186/s12992-018-0443-9
Titel-ID: cdi_doaj_primary_oai_doaj_org_article_9e6d4d4b90874280a3af16dd531954ce
Format
–
Schlagworte
Analysis
,
Construction
,
Delivery of Health Care - organization & administration
,
Developing Countries - economics
,
Diffusion
,
Diffusion entrepreneurs
,
Empirical analysis
,
Entrepreneurs
,
Entrepreneurship
,
Experimentation
,
Female
,
Financing
,
Global discourse
,
Health care reform
,
Healthcare Financing
,
HIV
,
Human immunodeficiency virus
,
Humans
,
Internet
,
Life Sciences
,
Low income groups
,
Male
,
Performance-based financing
,
Poststructural analysis
,
Public health
,
Qualitative analysis
,
Qualitative Research
,
Reimbursement, Incentive
,
Representations
,
Santé publique et épidémiologie
,
World health
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