Do family physicians need more payment for working better? Financial incentives in primary care

Introduction: Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries. Objective: Our study aims to describe and compare re...

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Main Authors: László Róbert Kolozsvári, Domingo Orozco-Beltran, Imre Rurik
Format: Article
Language:Spanish
Published: Elsevier 2014-05-01
Series:Atención Primaria
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0212656714000511
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author László Róbert Kolozsvári
Domingo Orozco-Beltran
Imre Rurik
author_facet László Róbert Kolozsvári
Domingo Orozco-Beltran
Imre Rurik
author_sort László Róbert Kolozsvári
collection DOAJ
description Introduction: Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries. Objective: Our study aims to describe and compare recent existing primary care indicators and related financing in European countries. Methods: Literature search was performed and questionnaires were sent to primary care experts of different countries within the European General Practice Research Network. Results: Ten countries have published primary care quality indicators (QI) associated with financial incentives. The number of QI varies from 1 to 134 and can modify the finances of physicians with up to 25% of their total income. Conclusions: The implementations of these schemes should be critically evaluated with continuous monitoring at national or regional level; comparison is required between targets and their achievements, health gains and use of resources as well.
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spelling doaj.art-363a8336e9a34d7db5f3066035dbcf982022-12-21T19:26:22ZspaElsevierAtención Primaria0212-65672014-05-0146526126610.1016/j.aprim.2013.12.014Do family physicians need more payment for working better? Financial incentives in primary careLászló Róbert Kolozsvári0Domingo Orozco-Beltran1Imre Rurik2Assistant professor, Department of Family and Occupational Medicine, University of Debrecen, HungaryAssociate professor, Cathedra of Family Medicine, University Miguel Hernandez, Alicante, SpainProfessor, Department of Family and Occupational Medicine, University of Debrecen, HungaryIntroduction: Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries. Objective: Our study aims to describe and compare recent existing primary care indicators and related financing in European countries. Methods: Literature search was performed and questionnaires were sent to primary care experts of different countries within the European General Practice Research Network. Results: Ten countries have published primary care quality indicators (QI) associated with financial incentives. The number of QI varies from 1 to 134 and can modify the finances of physicians with up to 25% of their total income. Conclusions: The implementations of these schemes should be critically evaluated with continuous monitoring at national or regional level; comparison is required between targets and their achievements, health gains and use of resources as well.http://www.sciencedirect.com/science/article/pii/S0212656714000511EGPRNEuropean UnionHealthcare quality indicatorsIncentive ReimbursementsPay for performancePrimary care
spellingShingle László Róbert Kolozsvári
Domingo Orozco-Beltran
Imre Rurik
Do family physicians need more payment for working better? Financial incentives in primary care
Atención Primaria
EGPRN
European Union
Healthcare quality indicators
Incentive Reimbursements
Pay for performance
Primary care
title Do family physicians need more payment for working better? Financial incentives in primary care
title_full Do family physicians need more payment for working better? Financial incentives in primary care
title_fullStr Do family physicians need more payment for working better? Financial incentives in primary care
title_full_unstemmed Do family physicians need more payment for working better? Financial incentives in primary care
title_short Do family physicians need more payment for working better? Financial incentives in primary care
title_sort do family physicians need more payment for working better financial incentives in primary care
topic EGPRN
European Union
Healthcare quality indicators
Incentive Reimbursements
Pay for performance
Primary care
url http://www.sciencedirect.com/science/article/pii/S0212656714000511
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