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Table 1 Summary of strategic purchasing actions

From: Examining healthcare purchasing arrangements for strategic purchasing in Nigeria: a case study of the Imo state healthcare system

Government–purchaser axis
 Governments should provide policy and regulatory frameworks that support strategic purchasing
Purchaser–provider axis
 Purchasers should select and contract health service providers based on criteria including capacity and geographical distribution
 Purchasers should require providers to ensure quality of service including through quality improvement mechanisms such as the use of standard treatment guidelines
 Purchasers should incentivize provider performance through payment mechanisms and related incentives
Citizen–purchaser axis
 Benefit packages should reflect the needs and preferences of the target population
 Benefit packages should offer protection from financial catastrophe
  1. Source Adapted from RESYST [3]