Pay-for-performance challenges in family physician program
- Author:
Farid Gharibi
;
Elham Dadgar
- Publication Type:Case Reports
- Keywords:
pay for performance;
P4P;
family physician;
Iran
- From:Malaysian Family Physician
2020;15(2):19-29
- CountryMalaysia
- Language:English
-
Abstract:
Objective: This study was conducted to investigate the challenges faced in the implementation of the
pay-for-performance system in Iran’s family physician program.
Study design: Qualitative.
Place and duration of study: The study was conducted with 32 key informants at the family
physician program at the Tabriz University of Medical Sciences between May 2018 and June 2018.
Method: This is a qualitative study. A purposeful sampling method was used with only one inclusion
criterion for participants: five years of experience in the family physician program. The researchers
conducted 17 individual and group non-structured interviews and examined participants’ perspectives
on the challenges faced in the implementation of the pay-for-performance system in the family
physician program. Content analysis was conducted on the obtained data.
Results: This study identified 7 themes, 14 sub-themes, and 46 items related to the challenges in the
implementation of pay-for-performance systems in Iran’s family physician program. The main themes
are: workload, training, program cultivation, payment, assessment and monitoring, information
management, and level of authority. Other sub-challenges were also identified.
Conclusion: The study results demonstrate some notable challenges faced in the implementation of
the pay-for-performance system. This information can be helpful to managers and policymakers.
- Full text:2.2019my0079.pdf
