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Pay for performance system in Turkey and the world; a global overview
İbrahim Tayfun Şahiner1, Ebru Esen2, Ahmet Deniz Uçar3
1Department of General Surgery, Hitit University Faculty of Medicine, Çorum, Turkey.
Turkish Journal of Surgery
|July 25, 2022
Summary
The pay for performance system in Turkey needs reform to ensure fair compensation for general surgeons. Addressing inequities is crucial to prevent future shortages in surgical specialties.
Area of Science:
- Health Policy
- Surgical Practice
- Healthcare Management
Background:
- Pay for performance (P4P) systems are implemented globally to enhance healthcare quality and efficiency.
- International P4P models often involve financial incentives supported by insurance and non-governmental organizations.
Purpose of the Study:
- To compare Turkey's national pay for performance system with international models.
- To evaluate the impact of the current Turkish P4P system on general surgery.
Main Methods:
- Review of current literature and international P4P programs.
- Evaluation of Turkish Surgical Association performance studies and Healthcare Implementation Communique (HIC) findings.
Main Results:
- Turkish surgeons perceive the current P4P system as unjust, undervaluing their work and leading to inadequate rewards.
- This dissatisfaction contributes to a reluctance among medical graduates to pursue general surgery careers.
Conclusions:
- Recommendations for improving the P4P system in Turkey, emphasizing expert input for procedure lists and equitable compensation.
- Urgent need for incentives to encourage high-quality surgical performance to avoid future staffing shortages in general surgery and other surgical fields.
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