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This is a summary of Chapter 1: Primary Health Care (PHC) Per Capita Payment Systems: Summary of Key Aspects of Design and Implementation in the book - Designing and Implementing Health Care Provider Payment Systems: How-To Manuals.
This summary document is based on a synthesis of international evidence and experience related to the design and implementation of per capita PHC payment systems. It summarizes lessons learned and consolidates specific technical recommendations about steps in the design and implementation of capitated payment systems. A brief case study is presented from the Karaganda region of Kazakhstan, where a PHC per capita payment system has driven profound changes in the relationships between the government/purchaser, providers and the population and set in motion a dynamic of change in the region’s health sector in spite of system barriers.