Health technology asessment in primary health care reform in Albania

By 2007 health centers in primary health care are public entities autonomous contracted by HII financed according to package of services self managed. Health centre is managed by Manager and economist that are responsible for financial and human resource management. HC are financed performance based according to a new formula: 85% of budget was given monthly for normal functioning of services 10% was given monthly as performance based and 5% was called quality bonus given quarterly to HC. Study mean to measure impact of financial mechanism of health centers in function of health staff performance by components: Finances performance and level of health staff knowledge about reform. Target of study are primary health care centers family doctors and nurse employed in selected health centers. 684 health staffs are interviewed by 52 health centers randomly selected as part of the survey. It is found positive statistical correlation between bonus level and health staff knowledge about reform(r=0.218 p=0.023) and continues medical education (r=0.607. p<0.001).