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Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review

There is an interest to understand how social impact bonds (SIBs), a type of innovative financing instrument used in impact investment, can be used to finance the prevention of non-communicable diseases (NCDs). This is the first scoping review that explores the evidence of SIBs for NCDs and their ke...

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Autores principales: Hulse, Emily Susannah Grace, Atun, Rifat, McPake, Barbara, Lee, John Tayu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938989/
https://www.ncbi.nlm.nih.gov/pubmed/33674267
http://dx.doi.org/10.1136/bmjgh-2020-004127
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author Hulse, Emily Susannah Grace
Atun, Rifat
McPake, Barbara
Lee, John Tayu
author_facet Hulse, Emily Susannah Grace
Atun, Rifat
McPake, Barbara
Lee, John Tayu
author_sort Hulse, Emily Susannah Grace
collection PubMed
description There is an interest to understand how social impact bonds (SIBs), a type of innovative financing instrument used in impact investment, can be used to finance the prevention of non-communicable diseases (NCDs). This is the first scoping review that explores the evidence of SIBs for NCDs and their key characteristics and performance. The review used both published and grey literature from eight databases (MEDLINE, NCBI, Elsevier, Cochrane Library, Google, Google Scholar, WHO publications and OECD iLibrary). A total of 83 studies and articles were eligible for inclusion, identifying 11 SIBs implemented in eight countries. The shared characteristics of the SIBs used for NCDs were impact investment companies as investors, local governments as outcome payers, not-for-profit service providers and an average US$2 015 456 private initial investment. The review revealed a lack of empirical evidence on SIBs for NCDs. Conflict of interest and lack of public disclosure were common issues in both the published and grey literature on SIBs. Furthermore, only three SIBs implemented for financing NCDs were meeting all their target outcomes. The common characteristics of the SIBs meeting their target outcomes were evidence-based interventions, multiple service providers and an intermediated structure. Overall, there is a need for more high-quality studies, particularly economic evaluations and qualitative studies on the benefits to target populations, and greater transparency from the private sector, in order to ensure improved SIBs for preventing NCDs.
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spelling pubmed-79389892021-03-21 Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review Hulse, Emily Susannah Grace Atun, Rifat McPake, Barbara Lee, John Tayu BMJ Glob Health Original Research There is an interest to understand how social impact bonds (SIBs), a type of innovative financing instrument used in impact investment, can be used to finance the prevention of non-communicable diseases (NCDs). This is the first scoping review that explores the evidence of SIBs for NCDs and their key characteristics and performance. The review used both published and grey literature from eight databases (MEDLINE, NCBI, Elsevier, Cochrane Library, Google, Google Scholar, WHO publications and OECD iLibrary). A total of 83 studies and articles were eligible for inclusion, identifying 11 SIBs implemented in eight countries. The shared characteristics of the SIBs used for NCDs were impact investment companies as investors, local governments as outcome payers, not-for-profit service providers and an average US$2 015 456 private initial investment. The review revealed a lack of empirical evidence on SIBs for NCDs. Conflict of interest and lack of public disclosure were common issues in both the published and grey literature on SIBs. Furthermore, only three SIBs implemented for financing NCDs were meeting all their target outcomes. The common characteristics of the SIBs meeting their target outcomes were evidence-based interventions, multiple service providers and an intermediated structure. Overall, there is a need for more high-quality studies, particularly economic evaluations and qualitative studies on the benefits to target populations, and greater transparency from the private sector, in order to ensure improved SIBs for preventing NCDs. BMJ Publishing Group 2021-03-05 /pmc/articles/PMC7938989/ /pubmed/33674267 http://dx.doi.org/10.1136/bmjgh-2020-004127 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Research
Hulse, Emily Susannah Grace
Atun, Rifat
McPake, Barbara
Lee, John Tayu
Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
title Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
title_full Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
title_fullStr Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
title_full_unstemmed Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
title_short Use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
title_sort use of social impact bonds in financing health systems responses to non-communicable diseases: scoping review
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938989/
https://www.ncbi.nlm.nih.gov/pubmed/33674267
http://dx.doi.org/10.1136/bmjgh-2020-004127
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