Abstract
National Health Security Office (NHSO) has established health promotion and diseases prevention fund (P&P fund) with the primary intention of appropriately managing the P&P budget. However, P&P management approach has been changed over the years. This study reviews relevant literature, using narrative and systematic review approaches, on P&P payment mechanisms published in both domestic and international journals. Furthermore, this paper analyses strengths and weaknesses of each P&P payment mechanism. A total of 12 studies were identified for inclusion in the systematic review. Moreover, other studies gathered by narrative literature review were also included into the analysis. The results showed that P&P payment mechanisms can be categorized into five groups including fee schedule, capitation, pay-for-performance (P4P), global budget, and a blended payment method. The plausible outcomes of each payment mechanisms can be divided into three groups: volume and quality of P&P, supplier-induced demand, and risk selection. Each payment mechanism has its own strengths and weaknesses and is appropriate for different types of P&P services. For Thailand, a blended payment method may be the most appropriate mechanism for all P&P services as it naturally combines the potential benefits of each traditional payment mechanism. However, there should definitely be the consideration of the appropriateness of the list of existing P&P services.
