Performance Based Supplementary Payment System at University Hospitals in Turkey
Journal Title: JOURNAL OF CONTEMPORARY MEDICINE - Year 2017, Vol 7, Issue 2
Abstract
Objective: This study aims to evaluate the advantages and disadvantages of the performance-based supplementary payment (PBSP) system which is one of the foremost payment systems of university hospitals in Turkey. Method: In this study it is used qualitative analysis methods to explore experienced physicians’ perceptions about the advantages and the disadvantages of PBSP payment system which has been implemented at university hospitals since 2011. The study was carried out by using qualitative research method. Data were collected from semi-structured qualitative interviews with experienced. The study was conducted at a university hospital.Results: The result of the analysis has revealed that PBSP system encourage physicians who would like to receive financial incentives. PBSP system supports the individual performance, reduces waiting times in patients, increases revenues and decreases expenditures and increases in efficiency of department. However, this payment system increases work load, number of examinations and provokes the conflict among personals. Conclusions: University hospitals are academic institutions that perform important missions such as research, medical education and health services provision. Therefore, PBSP system should be revised so as to encourage performing these missions at university hospitals. There is also shortage of financial resources at the university hospitals. This situation leads to less additional payments to physicians.
Authors and Affiliations
Vahit Yiğit
Gana'da Beş Yaş Altı Çocuklu Hanelerde İyotlu Tuz Kullanımının Belirleyicileri
Amaç: Özellikle çocuklarda iyot eksikliğinin insan sağlığı üzerindeki zararlı etkileri göz önüne alındığında, Gana dahil birçok ülke iyotlu tuz kullanarak evrensel iyotlaştırma hamlelerini benimsemiştir. Ancak, bu türden...
Efficacy of the use of sterile plastic to cover the surgical field against infection in orthopedic operations
Objective: Surgical site infections (SSI) are situations with difficult treatment processes for patients and clinicians. Though the precautions are taken to reduce this risk, they continue to occur. One of the most impor...
Puberfoni ve Tedavisi
Puberfoni (Mutasyonel falsetto) , yüksek perdeli preadolesan sesinin, düşük perdeli yetişkin sesine dönüşmesinde meydana gelen bozukluktur. Bu hastalık kadınlarda da gözlemlenmesine rağmen, genellikle erkeklere özg...
Çocuklukta Kolostomi Komplikasyonları: 84 Hastanın Analizi
Giriş: Kolostomiler; konjenital ve edinsel gastrointestinal sistem patolojilerinde hayati bir rol oynamaktadır. Cerrahi yaklaşımlardaki gelişmelere rağmen, cerrahi morbidite ve komplikasyon oranları hala yüksektir. Kol...
The evaluation of effectiveness of indirect hemagglutination, indirect fluorescent antibody test and enzyme immunoassay in serological diagnosis of Cystic Echinococcosis
Objective: The aim of this study was to evaluate serologically type Ig G antibodies against E. granulosus, in 163 patients who referred with the suspicion of Cystic Echinococcosis from various clinics to Laboratory betwe...