The scoping review on alternative purchasing arrangements and their impact on the quality of chronic care is now available. This report, which has been commissioned by the Word Health Organization (WHO) summarises evidence of the impact of various purchasing arrangements, their service delivery models and supportive elements on the quality of care. The results presented highlight several findings to be considered when designing purchasing arrangements and their service delivery models, particularly regarding how these arrangements can impact providers’ behaviour. The consolidated literature provides evidence from a wide range of arrangements that can be used by policy-makers in countries wishing to improve the provision of care for people with chronic diseases.
