Paying Health Personnel in the Government Sector by Fee-For-Service: A Challenge to Productivity and Quality, and a Moral Hazard

The Ministry of Public Health has implemented increasingly complex payment schemes to cope with the internal brain drain situation among certain categories of health personnel. Non-private-practice allowances have been given to medical doctors, dentists and pharmacists since 1993 and a fee-for-service scheme for extra office hour practices started since 1994. This research is to evaluate the impact of the fee-for-service payment on productivity and quality of care and to consider any resultant moral hazards amongs health providers. [from abstract]