Policy Brief: Issue 33: Using Financial Mechanisms to Develop a Quality and Outcomes Framework: Issues and Challenges

In the fiscal year of 2014, the National Health Security Office (NHSO) started to disburse its budget based on the Quality and Outcomes Framework (QOF). The QOF is a budget allocation mechanism that incentivizes hospitals to provide quality primary care and achieve results based on the defined indicators. A study conducted in 2015 showed that using QOF can help improve quality care and services. However, this project should be improved in terms of management and the indicators used. This includes developing a system for monitoring and evaluating the program as well as determining how to overcome problems and obstacles by using evidence to assist decision-making.