Health Care Professionals' Perceptions of Pay-for-Performance in Practice: A Qualitative Metasynthesis.
health care professional engagement
incentive payments
intrinsic motivation
pay-for-performance
physician engagement
quality measurement
value-based payment models
Journal
Inquiry : a journal of medical care organization, provision and financing
ISSN: 1945-7243
Titre abrégé: Inquiry
Pays: United States
ID NLM: 0171671
Informations de publication
Date de publication:
Historique:
entrez:
26
5
2020
pubmed:
26
5
2020
medline:
11
11
2020
Statut:
ppublish
Résumé
Incentive-based pay-for-performance (P4P) models have been introduced during the last 2 decades as a mechanism to improve the delivery of evidence-based care that ensures clinical quality and improves health outcomes. There is mixed evidence that P4P has a positive effect on health outcomes and researchers cite lack of engagement from health care professionals as a limiting factor. This qualitative metasynthesis of existing qualitative research was conducted to integrate health care professionals' perceptions of P4P in clinical practice. Four themes emerged during the research process: positive perceptions of the value of performance measurement and associated financial incentives; negative perceptions of the performance measurement and associated financial incentives; perceptions of how P4P programs influence the quality/appropriateness of care; and perceptions of the influence of P4P program on professional roles and workplace dynamics. Identifying factors that influence health care professionals' perceptions about this type of value-based payment model will guide future research.
Identifiants
pubmed: 32448014
doi: 10.1177/0046958020917491
pmc: PMC7249558
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
46958020917491Références
BMJ Qual Saf. 2014 Aug;23(8):651-8
pubmed: 24522176
BMC Med Res Methodol. 2012 Nov 27;12:181
pubmed: 23185978
Global Health. 2016 Nov 25;12(1):77
pubmed: 27884185
N Engl J Med. 2014 May 15;370(20):1944-9
pubmed: 24827040
Soc Sci Med. 2012 Nov;75(10):1778-85
pubmed: 22921245
J Adv Nurs. 1999 Jun;29(6):1360-9
pubmed: 10354230
BMC Fam Pract. 2014 Oct 25;15:168
pubmed: 25344735
Med Care Res Rev. 2006 Feb;63(1 Suppl):73S-95S
pubmed: 16688925
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
Am J Med Qual. 2006 Nov-Dec;21(6):367-74
pubmed: 17077418
J Health Serv Res Policy. 2008 Jul;13(3):133-9
pubmed: 18573761
Health Serv Res. 2015 Dec;50 Suppl 2:2057-89
pubmed: 26549041
Health Aff (Millwood). 2007 Mar-Apr;26(2):492-9
pubmed: 17339678
Ann Intern Med. 2018 Feb 20;168(4):255-265
pubmed: 29181511
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
JAMA. 2005 Oct 12;294(14):1788-93
pubmed: 16219882
N Engl J Med. 2004 Sep 30;351(14):1448-54
pubmed: 15459308
Sociol Health Illn. 2009 Mar;31(2):229-45
pubmed: 18983422
Healthc (Amst). 2013 Jun;1(1-2):42-9
pubmed: 26249639
Qual Manag Health Care. 2011 Jul-Sep;20(3):234-45
pubmed: 21725221
Med Care Res Rev. 2006 Apr;63(2):135-57
pubmed: 16595409
Health Serv Res. 2006 Oct;41(5):1959-78
pubmed: 16987311
Health Serv Res. 2015 Feb;50(1):81-97
pubmed: 25040485
Soc Sci Med. 2017 Apr;178:157-166
pubmed: 28226301
J Gen Intern Med. 2012 Apr;27(4):405-12
pubmed: 21993998
Int J Equity Health. 2018 Nov 7;17(1):161
pubmed: 30404635
Med Care Res Rev. 2007 Jun;64(3):331-43
pubmed: 17507461
Cochrane Database Syst Rev. 2012 Feb 15;(2):CD007899
pubmed: 22336833
Eur J Health Econ. 2013 Feb;14(1):117-31
pubmed: 21882009
Br J Gen Pract. 2012 Apr;62(597):e282-7
pubmed: 22520916
J Med Ethics. 2012 Aug;38(8):485-91
pubmed: 22493186
Res Sch. 2006 Spring;13(1):29
pubmed: 20098638
BMC Health Serv Res. 2010 Aug 23;10:247
pubmed: 20731816
J Evid Based Med. 2009 May;2(2):70-83
pubmed: 21348993
PLoS One. 2013 Sep 09;8(9):e72684
pubmed: 24039794
Qual Health Res. 2004 Dec;14(10):1342-65
pubmed: 15538004
Soc Sci Med. 2002 Apr;54(8):1255-66
pubmed: 11989961
BMJ Qual Saf. 2011 Dec;20(12):1057-61
pubmed: 21693464
Aust J Prim Health. 2013;19(2):102-6
pubmed: 22954169
Health Policy Plan. 2018 Mar 1;33(2):183-191
pubmed: 29165644
Gerontologist. 2015 Dec;55(6):929-42
pubmed: 24637252
Med Care Res Rev. 2018 Feb;75(1):3-32
pubmed: 27815451
Cad Saude Publica. 2014 Jan;30(1):55-67
pubmed: 24627013
Rand Health Q. 2014 Dec 30;4(3):9
pubmed: 28083347
Br J Gen Pract. 2013 Jun;63(611):e408-15
pubmed: 23735412
BMC Health Serv Res. 2014 Jan 18;14:23
pubmed: 24438556
Cochrane Database Syst Rev. 2011 Sep 07;(9):CD008451
pubmed: 21901722
Front Health Serv Manage. 2018 Winter;35(2):3-13
pubmed: 30433899
Am J Manag Care. 2019 Feb 1;25(2):e26-e32
pubmed: 30763040
BMJ. 2007 Jun 30;334(7608):1357
pubmed: 17580318
Ann Fam Med. 2008 May-Jun;6(3):228-34
pubmed: 18474885
N Engl J Med. 2012 Apr 26;366(17):1606-15
pubmed: 22455751
Med Care Res Rev. 2012 Jun;69(3):251-76
pubmed: 22311954