ArticleJournal of education and health promotion2020
Performance payment challenges for family physician program.
Article in Journal of education and health promotion, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Does a GP service package matter in addressing the absence of health management by the occupational population? A modelling study.BMC health services research · 2024Article
- The challenges of urban family physician program over the past decade in Iran: a scoping review and qualitative study with policy-makers.Journal of preventive medicine and hygiene · 2023Article
- Content analysis of family physician plan using social marketing approach: Qualitative- document analysis.Journal of education and health promotion · 2023Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextPayment mechanisms are one of the effective tools for achieving optimal results in health system. Pay for performance (P4P) is one of the best programs to enhance the quality of health services through financial incentives. Considering of implementing family physician program in Iran and the P4P system, it is essential to address the challenges of implementing P4P system in the family physician program.
aimsThis study aimed to investigate the challenges of implementation of P4P system in family physician program. SETTINGS AND
designThe qualitative study was carried out at areas covered by Iran University of Medical Sciences in Tehran, Iran. MATERIALS AND
methodsThe semi-structured interview was conducted on 32 key informants in 2019. The sampling method was determined based on purposeful sampling. The topic guide of interviews was experiences in implementing of family physician program and challenges of implementing P4P system. Participants had least 5-year experience in the family physician program. STATISTICAL ANALYSIS USED: A framework analysis was used to analyze the data using the software MAXQDA 10.
resultsThe current study identified 7 themes, 14 subthemes, and 46 items related to the challenges to successful implementation of P4P systems in the family physician program including family physicians' workload, family physician training, promoting family physician program, paying to the family physician team, assessment and monitoring systems, information management, and the level of authority of family physicians.
conclusionThe study results demonstrated notable challenges for successful implementation of P4P system which can helpful to managers and policymakers.
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