Author Description

This scoping review aimed to identify alternative purchasing arrangements (apart from fee for service [FFS] and pay for performance [P4P]) and their associated service delivery models that countries have used to improve the quality of chronic care, as well as to assess how these purchasing arrangements have impacted the quality of care. A scoping review of academic and grey literature published between 2013 and 2022 was carried out on alternative purchasing arrangements and their impact on the quality of chronic care using causal inference methods. The analytical approach consisted of clustering articles around similar purchasing arrangements or programmes, summarizing the evidence across the clusters, and highlighting the service delivery aspects and institutional design features that potentially impacted the quality of care. This research provided information to the WHO and OECD joint publication Purchasing for quality chronic care: summary report.