Volume 6, Issue 4 (10-2022)
EBHPME 2022, 6(4): 285-297 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Paknejad Rizi S M, Torabi F, Jafari Pavarsi H. Challenges of Performance-Based Payment Methods in Health Care System: A Systematic Review. EBHPME 2022; 6 (4) :285-297
URL: http://jebhpme.ssu.ac.ir/article-1-383-en.html
URL: http://jebhpme.ssu.ac.ir/article-1-383-en.html
Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran , fatemehtorabi1374@gmail.com
Abstract: (993 Views)
Background: Performance-based payment refers to an incentive-based payment to employees in terms of and beyond their job requirements at an extremely high quality. Therefore, this study aims to review the challenges of performance-based payment in the healthcare system.
Methods: The study was carried out as a systematic review through searching databases, i.e., PubMed, Web of Science, and Scopus, for articles published without time limitation to September 30, 2020. The research articles regarding Performance-based payment in hospitals (n = 16) were examined.
Results: Generally, challenges of performance-based payment were divided into four main categories and 17 subcategories, including service providers, payment and financing, quality of provided services, and infrastructure. The main themes and sub-themes were related to the lack of financial resources, discrimination between patients, and the designing of a comprehensive information system.
Conclusion: Suitable implementation of performance-based payment methods in the healthcare system will improve quantitative and qualitative indicators of staff performance. Identifying the challenges and obstacles to the proper implementation of this plan will help health managers and policymakers design and implement remedial measures. It is to reduce the barriers and problems.
Methods: The study was carried out as a systematic review through searching databases, i.e., PubMed, Web of Science, and Scopus, for articles published without time limitation to September 30, 2020. The research articles regarding Performance-based payment in hospitals (n = 16) were examined.
Results: Generally, challenges of performance-based payment were divided into four main categories and 17 subcategories, including service providers, payment and financing, quality of provided services, and infrastructure. The main themes and sub-themes were related to the lack of financial resources, discrimination between patients, and the designing of a comprehensive information system.
Conclusion: Suitable implementation of performance-based payment methods in the healthcare system will improve quantitative and qualitative indicators of staff performance. Identifying the challenges and obstacles to the proper implementation of this plan will help health managers and policymakers design and implement remedial measures. It is to reduce the barriers and problems.
Type of Study: Review Article |
Subject:
Health Policy
Received: 2022/02/12 | Accepted: 2022/10/26 | Published: 2022/12/31
Received: 2022/02/12 | Accepted: 2022/10/26 | Published: 2022/12/31
References
1. Arbaje AI, Newcomer AR, Maynor KA, Duhaney RL, Eubank KJ, Carrese JA. Excellence in transitional care of older adults and pay-for-performance: Perspectives of health care professionals. The Joint Commission Journal on Quality and Patient Safety. 2014; 40(12): 550-8. [DOI: 10.1016/s1553-7250(14)40071-0]
2. Bozic KJ, Smith AR, Mauerhan DR. Pay-for-performance in orthopedics: Implications for clinical practice. The Journal of Arthroplasty. 2007; 22(6 Suppl 2): 8-12. [DOI: 10.1016/j.arth.2007.04.015]
3. Busse R. Pay-for-performance: Time to act but also to provide further evidence. Health Policy 2016; 120(10): 1123-4.
4. Cattel D, Eijkenaar F, Schut FT. Value-based provider payment: Towards a theoretically preferred design. Health Economics, Policy and Law. 2020; 15(1): 94-112. [DOI: 10.1017/S1744133118000397]
5. Cheng AH, Sutherland JM. British Columbia's pay-for-performance experiment: Part of the solution to reduce emergency department crowding?. Health Policy. 2013; 113(1-2): 86-92. [DOI: 10.1016/j.healthpol.2013.07.010]
6. Chien AT, Colman MW, Ross LF. Qualitative insights into how pediatric pay-for-performance programs are being designed. Academic Pediatrics. 2009; 9(3): 185-91. [DOI: 10.1016/j.acap.2009.01.005]
7. Clarke SP, Raphael C, Disch J. Challenges and directions for nursing in the pay-for-performance movement. Policy Polit Nurs Pract. 2008; 9(2): 127-34. [DOI: 10.1177/1527154408320419]
8. Clint Parker J, editor Cherry picking in ESRD: An ethical challenge in the era of pay for performance. Semin Dial. 2011; 24(1): 5-8. [DOI: 10.1111/j.1525-139X.2010.00806.x]
9. Conrad DA, Milgrom P, Shirtcliff RM, Bailit HL, Ludwig S, Dysert J, et al. Pay-for-performance incentive program in a large dental group practice. The Journal of the American Dental Association. 2018; 149(5): 348-52. [DOI: 10.1016/j.adaj.2017.11.018]
10. Cromwell J. Pay for performance in health care: Methods and approaches. USA: RTI Press; 2011.
11. de Bruin SR, Baan CA, Struijs JN. Pay-for-performance in disease management: A systematic review of the literature. BMC Health Services Research. 2011; 11(1): 272. [DOI: 10.1186/1472-6963-11-272]
12. Engineer CY, Dale E, Agarwal A, Agarwal A, Alonge O, Edward A, et al. Effectiveness of a pay-for-performance intervention to improve maternal and child health services in Afghanistan: A cluster-randomized trial. International Journal of Epidemiology. 2016; 45(2): 451-9. [DOI: 10.1093/ije/dyv362]
13. Hackett J, Glidewell L, West R, Carder P, Doran T, Foy R. Just another incentive scheme: A qualitative interview study of a local pay-for-performance scheme for primary care. BMC Family Practice. 2014; 15(1): 168. doi: . [DOI: 10.1186/s12875-014-0168-7]
14. Jabbari A, Shaarbafchi Zadeh N, Maddahian B. Identifying executive challenges of performance-based payment from medical and educational hospitals administrators’ perspective and offering solutions in Isfahan (2018). Evidence Based Health Policy, Management & Economics. 2019; 3(2): 121-30. [DOI: 10.18502/jebhpme.v3i2.1223]
15. Jahani F, Farazi A, Rafiei M, Jadidi R, Anbari Z. Job satisfaction and its related factors among hospital staff in Arak in 2009. Journal of Arak University of Medical Sciences. 2010; 13(1): 32-9. [In Persian].
16. Mousaloo A, Amir-Behghadami M, Janati A, Gholizadeh M. Exploring the challenges and features of implementing performance-based payment plan in hospitals: A protocol for a systematic review. Systematic Reviews. 2021; 10(1): 1-7. [DOI: 10.1186/s13643-021-01657-x]
17. Kurtzman ET, O’Leary D, Sheingold BH, Devers KJ, Dawson EM, Johnson JE. Performance-based payment incentives increase burden and blame for hospital nurses. Health Affairs. 2011; 30(2): 211-8. [DOI: 10.1377/hlthaff.2010.0573]
18. Eichler R, Auxila P, Pollock J. Performance-based payment to improve the impact of health services: Evidence from Haiti. World Bank Institute Online Journal. 2001: 1-11.
19. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine. 2018; 169(7): 467-73. [DOI: 10.7326/M18-0850]
20. Porritt K, Gomersall J, Lockwood C. JBI's systematic reviews: Study selection and critical appraisal. The American Journal of Nursing. 2014; 114(6): 47-52. [DOI: 10.1097/01.naj.0000450430.97383.64]
21. Jan S. Making sense of paying for performance in health care: Short-term targets versus patient-relevant outcomes. Australian Health Review. 2019; 43(5): 500-1. [Article]
22. Shakir M, Armstrong K, Wasfy JH. Could pay-for-performance worsen health disparities?. Journal of General Internal Medicine. 2018; 33(4): 567-9. [DOI: 10.1007/s11606-017-4243-3]
23. Long G, Mortimer R, Sanzenbacher G. Evolving provider payment models and patient access to innovative medical technology. Journal of Medical Economics. 2014; 17(12): 883-93. [DOI: 10.3111/13696998.2014.965255]
24. Lai Ch-L, Hou Y-H. The association of clinical guideline adherence and pay-for-performance among patients with diabetes. Journal of the Chinese Medical Association. 2013; 76(2): 102-7. [DOI: 10.1016/j.jcma.2012.06.024]
25. Jones M, Hsu C, Pearson D, Wolford D, Labby D. An alternative to pay‐for‐performance: One health plan's approach to quality improvement. Journal for Healthcare Quality. 2011; 33(1): 22-9. [DOI: 10.1111/j.1945-1474.2010.00100.x]
26. Kalk A, Paul FA, Grabosch E. ‘Paying for performance’in Rwanda: Does it pay off?. Tropical Medicine & International Health. 2010; 15(2): 182-90. [DOI: 10.1111/j.1365-3156.2009.02430.x]
27. Pushman AG, Chung KC. Future of the US healthcare system and the effects on the practice of hand surgery. Hand. 2009; 4(2): 99-107. [DOI: 10.1007/s11552-008-9161-8]
28. Kondo KK, Damberg ChL, Mendelson A, Motu'apuaka M, Freeman M, O'Neil M, et al. Implementation processes and pay for performance in healthcare: A systematic review. Journal of General Internal Medicine. 2016; 31(Suppl 1): 61-9. [DOI: 10.1007/s11606-015-3567-0]
29. Jannati A, Kabiri N, Asghari Jafarabadi M, Pourasghari B, Bayaz B. Surveying imapct of performance based payment on efficiency of clinical laboratory of teaching hospital of Imam Reza in Tabriz. Journal of Hospital. 2015; 14(1): 51-62. [In Persian]
30. Mendelson A, Kondo K, Damberg Ch, Low A, Motúapuaka M, Freeman M, et al. The effects of pay-for-performance programs on health, health care use, and processes of care: A systematic review. Annals of Internal Medicine. 2017; 166(5): 341-53. [DOI: 10.7326/M16-1881]
31. Milstein R, Schreyoegg J. Pay for performance in the inpatient sector: A review of 34 P4P programs in 14 OECD countries. Health Policy. 2016; 120(10): 1125-40. [DOI: 10.1016/j.healthpol.2016.08.009]
32. Ogundeji YK, Bland JM, Sheldon TA. The effectiveness of payment for performance in health care: A meta-analysis and exploration of variation in outcomes. Health Policy. 2016; 120(10): 1141-50. [DOI: 10.1016/j.healthpol.2016.09.002]
33. Raeesi P, Alikhani M, Mobayenizadeh MR. Fee For Service (FFS) payment on the basis of performance in Hasheminejad Hospital. Journal of Healthcare Management. 2010; 2(1-2): 27-36. [In Persian]
34. Roberts MJ, Hsiao W, Berman P, Reich MR. Getting health reform right: A guide to improving performance and equity. 4nd ed. UK: Oxford university press; 2004.
35. Scott A, Liu M, Yong J. Financial incentives to encourage value-based health care. Medical Care Research and Review. 2018; 75(1): 3-32. [DOI: 10.1177/1077558716676594]
36. Vlaanderen F, Tanke MA, Bloem BR, Faber MJ, Eijkenaar FP, Schut FT, et al. Design and effects of outcome-based payment models in healthcare: A systematic review. The European Journal of Health Economics. 2019; 20(2): 217-32. [DOI: 10.1007/s10198-018-0989-8]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
