Pay for performance system in Turkey and the world; a global overview

Abstract

Objective: This study aimed to compare the pay for performance system applied nationally in Turkey and in other countries around the world and to reveal the effects of the system applied in our country on the general surgery. Material and Methods: Current literature and countries’ programs on the implementation of the pay for performance system were recorded. The results of the Turkish Surgical Association’s performance and Healthcare Implementation Communique (HIC) commission studies were evaluated in light of the literature. Results: Many countries have implemented performance systems on a limited scale to improve quality, speed up the diagnosis, treatment, and control of certain diseases, and they have generally applied it as a financial promotion by receiving the support of health insurance companies and nongovernmental organizations. It turns out that surgeons in our country feel that they are being wronged because of the injustice in the current system because the property of their works is not appreciated and they cannot get the reward for the work they do. This is also the reason for the reluctance of medical school graduates to choose general surgery. Conclusion: Authorities should pay attention to the opinions of associations and experts in the related field when creating lists of interventional procedures related to surgery. Equal pay should be given to equal work nationally, and surgeons should be encouraged by incentives to perform detailed, qualified surgeries. There is a possibility that the staff positions opened for general surgery, as well as, all surgical branches will remain empty in the near future.

Importance and Limitations of Healthcare Verification for Accelerating Implementation of Universal Health Coverage in Burundi

“…4 In developed countries, verification is introduced in pay-for-performance or Performance-Based Financing (PBF) schemes to enforce quality care improvement and enhance efficiency in healthcare payment. 5,6,7 As a piece of evidence, healthcare verification is used in the United Kingdom for a standardised cost recovery system, 8 while it helps mitigate the risk of fraud, abuse, and waste in the United States of America health insurance shemes. 9,5 In developing countries, healthcare verification is promoted as a crucial function in PBF schemes to enforce quality improvements and increase data accuracy for healthcare payment.…”

“…5,6,7 As a piece of evidence, healthcare verification is used in the United Kingdom for a standardised cost recovery system, 8 while it helps mitigate the risk of fraud, abuse, and waste in the United States of America health insurance shemes. 9,5 In developing countries, healthcare verification is promoted as a crucial function in PBF schemes to enforce quality improvements and increase data accuracy for healthcare payment. 10,11 In health facilities, verification refers to the process of controlling the conformity of healthcare services provided with the pre-set criteria for billing and payment.…”