This scoping review, which was commissioned by the World Health Organization (WHO) Kobe Center, provides a map of robust evidence about purchasing arrangements and their service delivery models that have been used to improve the quality of care for people with chronic diseases. We evaluated a wide range of literature that analysed the impacts 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.
