Payment by Result definitions dilemma...

Like many times in social science there is dilemma with one coherent definition  With the PbR the same, there is big variety of definitions mostly because subject is new and there is lack of comprehensive studies about what is in fact Payment by Results. Lets me present some of the definition most commonly used. 

1. Wikipedia Definition

Payment by Results (PbR) is type of public policy instruments where payments are contingent on the independent verification of results. It is being actively promoted by a number of governments for more effective implementation of domestic policy.^[1][2]

There is also increasing interest in the field of international development, where PBR is often referred to either as 'results-based aid' (where the funding relationship is between a donor and a recipient country) or 'results-based financing' (where the funding relationship is between a developing country government or a development agency, and public or private sector providers). There are also a number of other terms in use which can often lead to confusion and a lack of clarity.^[3]

PbR instruments have three key features:

• Payments for pre-agreed results

• Recipient discretion over how the results are achieved

• Independent verification as the trigger for disbursement

2. UK Department of Health The aim of payment by results is to provide a transparent, rules based system for paying trusts. It will reward efficiency, support patient choice and diversity, and encourage activity for sustainable waiting time reductions. Payment will be linked to activity and adjusted for case mix. Importantly, this system will ensure a fair and consistent basis for hospital funding rather than being reliant, principally, on historic budgets and the negotiating skills of individual managers.


3. UK Family and Planning Institute & The Children's Society Payment by Results (PbR) entails funding or partially funding an intervention or service on the basis of the results it achieves, rather than on the cost of the activities or outputs it delivers.