Evidence map›Paper›PMID 37580717›Full record

ArticleBMC health services research2023

Comparison of pay-for-performance (P4P) programs in primary care of selected countries: a comparative study.

Sara Jamili, Mehdi Yousefi, Hossein Ebrahimi Pour, Elahe Houshmand, Ali Taghipour, Seyed Saeed Tabatabaee, Amin Adel

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. General practice incentives: a review of the international literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Pooled it
  2. Pooled it
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  6. A Pragmatic Approach to Improving Management and Patient Flow for Painful Diabetic Neuropathy in UK Primary Care.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
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  10. Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sara JamiliStudent Research Committee, Department of Health Economics and Management Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
Mehdi YousefiDepartment of Health Economics and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. yousefimehdi2023@gmail.com.
Hossein Ebrahimi PourDepartment of Health Economics and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Elahe HoushmandDepartment of Health Economics and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali TaghipourDepartment of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Saeed TabatabaeeDepartment of Health Economics and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Amin AdelHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.

Funding

Mashhad University of Medical Sciences 4000510
6 · The paper itself

Abstract

backgroundPay for performance (P4P) schemes provide financial incentives or facilities to health workers based on the achievement of predetermined performance goals. Various P4P programs have been implemented around the world. There is a question of which model is suitable for p4p implementation to achieve better results. The purpose of this study is to compare pay for performance models in different countries.

methodsThis is a descriptive-comparative study comparing the P4P model in selected countries in 2022. Data for each country are collected from reliable databases and are tabulated to compare their payment models. the standard framework of the P4P model is used for data analysis.

resultswe used the standard P4P model framework to compare pay for performance programs in the primary care sector of selected countries because this framework can demonstrate all the necessary features of payment programs, including performance domains and measures, basis for reward or penalty, nature of the reward or penalty, and data reporting. The results of this study show that although the principles of P4P are almost similar in the selected countries, the biggest difference is in the definition of performance domains and measures.

conclusionsDesigning an effective P4P program is very complex, and its success depends on a variety of factors, from the socioeconomic and cultural context and the healthcare goals of governments to the personal characteristics of the healthcare provider. considering these factors and the general framework of the features of P4P programs are critical to the success of the p4p design and implementation.

Indexed as

GovernmentReimbursement, IncentiveDatabases, FactualHumansPrimary Health CarePay-for-performancePayment methodsPrimary care

Identifiers

PMID37580717
PMCPMC10426118

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.