Pay-for-Performance Payment and Effects: Nursing Perspective

Abstract

Aim: Pay-for-performance payment initiatives attempt to improve the quality of care by aligning desired care processes and outcomes with reimbursement. The main focus of Pay-for-performance payment has been on physicians, with relatively less attention given to its potential impact on nurses. In addition, the impact of pay-for-performance payment criteria on nursing care and processes has not been widely studied. However, in acute care settings, such as during the COVID-19 Pandemic, interest in pay-for-performance payment criteria in nursing has increased due to its impact on care processes and patient outcomes. As pay-for-performance payment standards develop and encompass patient outcomes, the contributions of nurses will attract attention. This study was conducted to examine pay-for-performance payment models specific to nurses and their effects on nurses and healthcare systems. Method: For this purpose, the effects of pay-for-performance payment methods on healthcare services were discussed and studies conducted on this subject were reviewed. In addition, pay-for-performance payment models implemented in both developed and developing countries were examined. Finally, the study examined pay-for-performance payment models specific to nurses and included studies on the effects of pay-for-performance payment on nurses. Results: The general assumption regarding the effects of pay-for-performance payment on healthcare services is that it will motivate healthcare workers and managers to increase productivity and quality of care and ultimately strengthen the healthcare system. An appropriate incentive package is essential for the success of a pay-for-performance payment program. However, it is argued that sustainable and supportive management and audit systems, appropriate equipment, essential medicines and other medical supplies are essential for the success of the program. It is important that the pay-for-performance payment to be developed specifically for nurses creates a supportive environment where nurses are motivated to excel through positive reinforcement and rewards rather than fearing the results. Nurses have many duties both individually and within the team, and performance evaluation criteria can be made in accordance with these duties. Conclusion: As a result of the study, suggestions were made on issues that need to be considered in the development of a successful performance-based payment model specific to nurses. Originality: This study provides a comprehensive review of performance-based payment models specific to nurses and the effects of performance-based payment methods on nurses and health systems, thus making a significant contribution to both policy makers and the literature in developing unit/team-based incentive programs that will ensure both productivity and collaboration, as is the case abroad.

Keywords

• Nurse
• performance
• pay-for-performance payment

Ethical Statement

The study does not involve human or animal subjects (including materials/data) for experimental or other scientific purposes. Therefore, no ethics committee approval has been obtained.

Performansa Bağlı Ödeme ve Etkileri: Hemşirelik Perspektifi

Abstract

Amaç: Performansa göre ödeme girişimleri, istenen bakım süreçlerini ve sonuçlarını geri ödemeyle uyumlu hale getirerek bakım kalitesini artırmaya çalışmaktadır. Performansa göre ödemenin ana odak noktası daha çok hekimler üzerinde olup hemşireler üzerindeki potansiyel etkisine nispeten daha az önem verilmiştir. Ayrıca, performansa göre ödeme ölçütlerinin hemşirelik bakımı ve süreçleri üzerindeki etkisi çok araştırılmamıştır. Ancak akut bakım ortamlarında, Örneğin COVID 19 Pandemi döneminde, bakım süreçleri ve hasta sonuçları üzerindeki etkisinden dolayı hemşirelikte performansa göre ödeme ölçütlerine olan ilgi artmıştır. Performansa göre ödeme standartları geliştikçe ve hasta sonuçlarını kapsadıkça, hemşirelerin katkıları dikkat çekecektir. Bu çalışma hemşirelere özgü performansa göre ödeme modellerini ve hemşirelere, sağlık sistemlerine olan etkilerini incelemek amacı ile yapılmıştır. Yöntem: Bu amaç doğrultusunda performansa göre ödeme yöntemlerinin sağlık hizmetlerine olan etkileri tartışılmış ve bu konuda yapılan çalışmalar incelenmiştir. Ayrıca hem gelişmiş hem de gelişmekte olan ülkelerde uygulanan performansa göre ödeme modelleri incelenmiştir. Son olarak çalışmada hemşirelere özgü performansa göre ödeme modelleri incelenmiş ve performansa göre ödemenin hemşirelere olan etkileri hakkında yapılan çalışmalara yer verilmiştir. Bulgular: Performansa göre ödemenin sağlık hizmetlerine etkilerine olan genel varsayım, sağlık çalışanlarını ve yöneticilerini üretkenliği ve bakım kalitesini artırmaya motive edeceği ve nihayetinde sağlık sistemini güçlendireceğidir. Performansa göre ödemenin programının başarısı için uygun bir teşvik paketi elzemdir. Bununla birlikte sürdürülebilir ve destekleyici yönetim ve denetim sistemlerinin olması, uygun ekipman, temel ilaçlar ve diğer tıbbi malzemelerin olması programın başarı için gerekli olduğu savunulmaktadır. Hemşirelere özgü geliştirilecek performansa göre ödemenin, hemşirelerin sonuçlardan korkmak yerine olumlu pekiştirme ve ödüller yoluyla mükemmelleşmeye motive oldukları destekleyici bir ortam yaratması önemlidir. Hemşireler hem bireysel hem de ekip içinde birçok görevleri bulunmakta olup performans değerlendireme kriterleri bu görevlerine uygun olarak yapılabilir. Sonuç: Çalışma sonucunda hemşirelere özgü başarılı performansa göre ödeme modelinin geliştirilmesinde dikkat edilmesi gereken konularda önerilerde bulunulmuştur. Özgünlük: Bu çalışma, hemşirelere özgü performansa göre ödeme modellerini ve performansa bağlı ödeme yöntemlerinin hemşirelere, sağlık sistemlerine olan etkilerini kapsamlı bir inceleme sunarak yurt dışında olduğu gibi iş hem verimliliği hem de işbirliğini sağlayacak şekilde ünite/ekip tabanlı teşvik programları geliştirilebilmesi konusunda hem politika yapıcılara hem de literatüre önemli katkı sunmaktadır.

Keywords

• Hemşire
• performans
• performansa bağlı ödeme

Ethical Statement

Çalışma insan ve hayvanların (materyal/veriler dâhil) deneysel ya da diğer bilimsel amaç içermemektedir. Bu nedenle etik kurul onayı alınmamıştır.

References

1. Adams, A., Lugsden, E., Chase, J., Arber, S. & Bond, S. (2000). Skill-mix changes ve work intensification in nursing. Work, Employment ve Society, 14(3), 541-555.
2. Aiken, L.H. (2003). Educational levels of hospital nurses ve surgical patient mortality. The Journal of the American Medical Association, 290, 1617-1623.
3. Aguinis, H. & Burgi-Tian, J. (2021). Measuring performance during crises and beyond: The Performance Promoter Score. Business Horizons, 64(1), 149-160.
4. American Hospital Association. (2003). Patients or paperwork? The regulatory burden facing America’s hospitals. Erişim tarihi: 22 Nisan 2024. http://www.aha.org/aha/ content/2001/pdf/FinalPaper workReport.pdf.
5. American Medical Association.Principles for pay-for-performance programs. 2005. Erişim tarihi: 11 Mart 2024. http://www.ama-assn.org/ama1/pub/upload/mm/368/principles4pay 62705.pdf.
6. Andersen, C. T., Ahmadzai, H., Rasekh, A. W., Akala, F. A., Haque, T., Johnson, R., Loevinsohn, B., Sayed, G. D. & Chopra, M. (2021). Improving health service delivery in conflict-affected settings: Lessons from a nationwide strategic purchasing mechanism in Afghanistan. Journal of Global Health, 11.
7. Arling, G., Job, C. & Cooke, V. (2009). Medicaid nursing home pay for performance: where do we stand?. The Gerontologist, 49(5), 587-595.
8. Auerbach, D. I., Buerhaus, P. I. & Staiger, D. O. (2007). Better late than never: Workforce supply implications of later entry into nursing. Health Affairs, 26(1), 178-185.

9. Bhatnagar, A. & George, A. S. (2016). Motivating health workers up to a limit: partial effects of performance-based financing on working environments in Nigeria. Health Policy ve Planning, 31(7), 868-877.
10. Binyaruka, P., Robberstad, B., Torsvik, G. & Borghi, J. (2018). Does payment for performance increase performance inequalities across health providers? A case study of Tanzania. Health Policy and Planning, 33(9), 1026-1036.
11. Bisset, G. S. (2017). An honest day’s work: pay for performance in a pediatric radiology department. Pediatric Radiology, 47(7), 798-802.
12. Bodrock, J. A. & Mion, L. C. (2008). Pay for performance in hospitals: Implications for nurses ve nursing care. Quality Management in Healthcare, 17(2), 102-111.
13. Boito, D. (2024). Pay for Performance Nursing Compensation Models-Value Based Compensation through Performance Incentives (Doctoral dissertation, University of Pittsburgh). Erişim adresi, https://d-scholarship.pitt.edu/46240/.
14. Busogoro, J. F. & Beith, A. (2010). Pay for Performance for improved health in Burundi. Bethesda, MD: Health Systems, 202, 20.
15. Cashin, C. & Chi, Y. L. (2014). Australia: Practice incentives programme. Paying for Performance in Health Care, 109-109.
16. Campbell S., Reeves D., Kontopantelis E., Middleton E., Sibbald B. & Rolve M. (2007) Quality of primary care in Englve with the introduction of pay for performance. New Englve Journal of Medicine, 357(2), 181-190.
17. Campbell, S. M., McDonald, R. & Lester, H. (2008). The experience of pay for performance in English family practice: a qualitative study. The Annals of Family Medicine, 6(3), 228-234.
18. Campbell, S. M., Reeves, D., Kontopantelis, E., Sibbald, B. & Roland, M. (2009). Effects of pay for performance on the quality of primary care in England. New England Journal of Medicine, 361(4), 368-378.
19. Cannon, M. F. (2007). Pay-for-performance: is Medicare a good cveidate. Yale J. Health Polıcy, Law ve Ethics, 7, 1.
20. Charles-Jones H., Latimer J. & May C. (2003) Transforming general practice: the redistribution of medical work in primary care. Sociology of Health ve Illness, 25(1), 71-92.
21. Chaumont, C., Muhorane, C., Moreira-Burgos, I., Juma, N. & Avila-Burgos, L. (2015). Maternal ve reproductive health financing in Burundi: public-sector contribution levels ve trends from 2010 to 2012. BMC Health Services Research, 15, 1-11.
22. Christianson, J. B., Leatherman, S. & Sutherlve, K. (2007). Paying for quality: Understveing ve assessing physician pay-for-performance. Princeton, NJ: Robert Wood Johnson Foundation.
23. Clarke, S. P., Raphael, C. & Disch, J. (2008). Challenges and directions for nursing in the pay-for-performance movement. Policy, Politics, & Nursing Practice, 9(2), 127-134.
24. Conway, A. & Satin, D. (2022). The role of pay-for-performance in reducing healthcare disparities: a narrative literature review. Preventive Medicine, 164, 107274.
25. Cooke, V., Arling, G., Lewis, T., Abrahamson, K. A., Mueller, C. & Edstrom, L. (2010). Minnesota's nursing facility performance-based incentive payment program: an innovative model for promoting care quality. The Gerontologist, 50(4), 556-563.
26. Cordaid-Ministry of Health Burundi (2015). Resultats de l´enquête ménage et l´enquê qualité de base. Bujumbura: Cordaid Burundi.
27. Çakıroğlu, O. Ç. & Seren, A. K. H. (2016). Sağlıkta dönüşüm programı’nın sağlık sistemi ve sağlık çalışanları üzerindeki etkileri. Sağlık ve Hemşirelik Yönetimi Dergisi, 3(1), 37-43.
28. Çankaya, M. (2017). Hastane çalışanlarının performansa dayalı ek ödeme sistemine ilişkin görüşleri Muğla Sıtkı Koçman Üniversitesi Eğitim ve Araştırma Hastanesi’nde bir araştırma. Sağlık Akademisyenleri Dergisi, 4(4), 272-282.
29. Çoruh M. (1996). Sağlık Hizmetlerinde Toplam Kalite Yönetimi ve Performans Ölçümü. Ankara: Haberal Eğitim Vakfı Yayını.
30. Davis, K. & Guterman, S. (2007). Rewarding excellence ve efficiency in Medicare payments. Milbank Quarterly, 85(3), 449-468.
31. Dieleman, M., Toonen, J., Touré, H. & Martineau, T. (2006). The match between motivation ve performance management of health sector workers in Mali. Human Resources for Health, 4, 1-7.
32. Donaldson, N., Bolton, L. B., Aydin, C., Brown, D., Elashoff, J. D. & Svehu, M. (2005). Impact of California’s licensed nurse-patient ratios on unit-level nurse staffing ve patient outcomes. Policy, Politics ve Nursing Practice, 6(3), 198-210.
33. Doran, T., Kontopantelis, E., Valderas, J. M., Campbell, S., Rolve, M., Salisbury, C. & Reeves, D. (2011). Effect of financial incentives on incentivised ve non-incentivised clinical activities: longitudinal analysis of data from the UK Quality ve Outcomes Framework. BMJ, 342.
34. Dudley, R. A., Robinowitz, D. L., Talavera, J. L., Broadhead, P. & Luft, H. S. (2004). Strategies to support quality-based purchasing: A review of the evidence. Rockville, MD: Agency for Health Care Research ve Quality.
35. Dudley, R. A. & Rosenthal, M. B. (2006). Pay for performance: A decision guide for purchasers: final contract report. Agency for Healthcare Research and Quality.
36. Edwards, N. (2003). Doctors ve managers: poor relationships may be damaging patients—what can be done?. BMJ Quality ve Safety, 12(suppl 1), i21-i24.
37. Eichler R. (2006). Can ‘‘Pay-for-Performance’’ increase utilization by the poor ve improve the quality of health services? Discussion paper for the first meeting of the Working Group on Performance-Based Incentives. Washington, DC: Center for Global Development. Erişim tarihi: 12 Mayıs 2024. http://www.cgdev.org/section/initiatives/_active/ghprn/ workinggroups/performance.
38. Eijkenaar, F., Emmert, M., Scheppach, M. & Schöffski, O. (2013). Effects of pay for performance in health care: a systematic review of systematic reviews. Health Policy, 110(2-3), 115-130
39. Eldridge, C. & Palmer, N. (2009). Performance-based payment: some reflections on the discourse, evidence ve unanswered questions. Health Policy ve Planning, 24(3), 160-166.
40. Ekinci, N. (2021). Türkiye’deki sağlık çalışanlarının performansa dayalı ücret uygulaması hakkında görüşlerine dayalı araştırmaların değerlendirilmesi. Verimlilik Dergisi, (2), 111-125.
41. Eijkenaar, F. (2013). Key issues in the design of pay for performance programs. The European Journal of Health Economics, 14, 117-131.
42. Eijkenaar, F., Emmert, M., Scheppach, M. & Schöffski, O. (2013). Effects of pay for performance in health care: a systematic review of systematic reviews. Health Policy, 110(2-3), 115-130.
43. Erkan, A. (2011). Performansa dayalı ödeme: Sağlık Bakanlığı uygulaması. Maliye Dergisi, 160, 423-437.
44. Ertaş N. (2006). Hemşirelik Müdürlük Sisteminin Çalışan Hemşire Performansına Etkisi; GATA Haydarpaşa Eğitim Hastanesi ile Marmara Üniversitesi Hastanesinin Hemşire Performansı Açısından Karşılaştırılması. Yayınlanmamış Yüksek Lisans Tezi. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü. İstanbul.
45. Etiler, N. (2011). Neoliberal politikalar ve sağlık emek gücü üzerindeki etkileri. Mesleki Sağlık ve Güvenlik Dergisi, 42, 2-11.
46. Ettelt, S., Thomson, S., Nolte, E. & Mays, N. (2006). Reimbursing highly specialised hospital services: the experience of activity-based funding in eight countries. London: London School of Hygiene ve Tropical Medicine, 17, 3-5.
47. Feng, Y., Kristensen, S. R., Lorgelly, P., Meacock, R., Sanchez, M. R., Siciliani, L. & Sutton, M. (2019). Pay for performance for specialised care in England: strengths and weaknesses. Health Policy, 123(11), 1036-1041.
48. Foels, T. & Hewner, S. (2009). Integrating pay for performance with educational strategies to improve diabetes care. Population Health Management, 12(3), 121-129.
49. Fritsche, G.B., Soeters, R. & Meessen, B. (2014). Performance-based financing. Toolkit. Washington, DC: The World Bank.
50. Jongbloed, B. & Vossensteyn, H. (2001). Keeping up performances: An international survey of performance-based funding in higher education. Journal of Higher Education Policy ve Management, 23(2), 127-145.
51. Glickman, S. W., Ou, F. S., DeLong, E. R., Roe, M. T., Lytle, B. L., Mulgund, J. Rumsfeld, J.S., Gibler, W.B., Ohman, E.M., Schulman, K.A., & Peterson, E. D. (2007). Pay for performance, quality of care, and outcomes in acute myocardial infarction. The Journal of the American Medical Association, 297(21), 2373-2380.
52. Gemmell, I., Campbell, S., Hann, M. & Sibbald, B. (2009). Assessing workload in general practice in Englve before ve after the introduction of the pay‐for‐performance contract. Journal of Advanced Nursing, 65(3), 509-515.
53. Gillam, S. J., Siriwardena, A. N. & Steel, N. (2012). Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework—a systematic review. The Annals of Family Medicine, 10(5), 461-468.
54. Gümüş, S. & Çelik, B. (2024). Sağlık işletmelerinde hizmetlerin yürütülmesinde hemşireler odaklı performansa dayalı ödeme sistemleri: Bir devlet hastanesi örneği. Journal of Social, Humanıtıes and Administrative Sciences, 9(65), 2983-2994.
55. Hazelwood, A. & Cook, E. D. (2008). Improving quality of health care through pay-for-performance programs. The Health Care Manager, 27(2), 104-112.
56. Hecht, R., Batson, A. & Brenzel, L. (2004). Making health care accountable. Finance ve Development, 41, 16-19.
57. Holcomb, B. R., Hoffart, N. & Fox, M. H. (2002). Defining and measuring nursing productivity: a concept analysis and pilot study. Journal of Advanced Nursing, 38(4), 378-386.
58. IHSM (1991). Individual Performance Review in the NHS. IHSM, London. Institute of Medicine (2001). Crossing the QualityChasm: A New Health Care System for the 21st Century. Erişim tarihi: 15 Nisan 2024. http://www/iom/edu/?id12736.
59. Institute of Medicine (2006). Rewarding Provider Performance: Aligning Incentives in Medicare (Pathways to Quality Health Care Series). Washington, DC: National Academies Press.
60. Jamili, S., Yousefi, M., Pour, H. E., Houshmand, E., Taghipour, A., Tabatabaee, S. S. & Adel, A. (2023). Comparison of pay-for-performance (P4P) programs in primary care of selected countries: a comparative study. BMC Health Services Research, 23(1), 865.
61. Kang, K. T., Chang, R. E., Lin, M. T. & Chen, Y. C. (2024). Pay-for-performance in Taiwan: A systematic review and meta-analysis of the empirical literature. Public Health, 236, 328-337.
62. Kilpatrick, K. E., Lohr, K. N., Leatherman, S., Pink, G., Buckel, J. M., Legarde, C. & Whitener, L. (2005). The insufficiency of evidence to establish the business case for quality. International Journal for Quality in Health Care, 17, 347-355.
63. Knauf, R. A., Ballard, K., Mossman, P. N. & Lichtig, L. K. (2006). Nursing cost by DRG: nursing intensity weights. Policy, Politics, ve Nursing Practice, 7(4), 281-289.
64. Kovacs, R., Brown, G. W., Kadungure, A., Kristensen, S. R., Gwati, G., Anselmi, L., Midzi, N. & Borghi, J. (2022). Who is paid in pay-for-performance? Inequalities in the distribution of financial bonuses amongst health centres in Zimbabwe. Health Policy and Planning, 37(4), 429-439.
65. Krauth, C., Liersch, S., Jensen, S. & Amelung, V. E. (2016). Would German physicians opt for pay-for-performance programs? A willingness-to-accept experiment in a large general practitioners’ sample. Health Policy, 120(2), 148-158.
66. Kurtzman, E. T., O’Leary, D., Sheingold, B. H., Devers, K. J., Dawson, E. M. & Johnson, J. E. (2011). Performance-based payment incentives increase burden and blame for hospital nurses. Health Affairs, 30(2), 211-218.
67. Layton, T. J. & Ryan, A. M. (2015). Higher incentive payments in medicare advantage’s pay‐for‐performance program did not improve quality but did increase plan offerings. Health Services Research, 50(6), 1810-1828.
68. Lee, J. Y., Lee, S. I. & Jo, M. W. (2012). Lessons from healthcare providers' attitudes toward pay-for-performance: what should purchasers consider in designing and implementing a successful program?. Journal of Preventive Medicine and Public Health, 45(3), 137.
69. Lee, J. Y., Lee, S. I., Kim, N. S., Kim, S. H., Son, W. S. & Jo, M. W. (2012). Healthcare organizations’ attitudes toward pay-for-performance in Korea. Health Policy, 108(2-3), 277-285.
70. Li, X. & Evans, J. M. (2022). Incentivizing performance in health care: a rapid review, typology and qualitative study of unintended consequences. BMC Health Services Research, 22(1), 690.
71. Li, C., Zhou, Y., Zhou, C., Lai, J., Fu, J. & Wu, Y. (2022). Perceptions of nurses and physicians on pay‐for‐performance in hospital: A systematic review of qualitative studies. Journal of Nursing Management, 30(2), 521-534.
72. Lindenauer, P. K., Remus, D., Roman, S., Rothberg, M. B., Benjamin, E. M., Ma, A. & Bratzler, D. W. (2007). Public reporting ve pay for performance in hospital quality improvement. New Englve Journal of Medicine, 356(5), 486-496.
73. Locke, R. G. & Srinivasan, M. (2008). Attitudes toward pay-for-performance initiatives among primary care osteopathic physicians in small group practices. Journal of Osteopathic Medicine, 108(1), 21-24.
74. Lockhart, L. (2018). A pay for performance primer. Nursing made Incredibly Easy, 16(3), 55.
75. Mackey, T. A., Rooney, L. & Skinner, L. (2009). Pay for NP performance?. The Nurse Practitioner, 34(4), 48-51.
76. Maffei, R. M., Turner, N. & Dunn, K. (2008). Building blocks to adopting a pay-for-performance model. JONA's Healthcare Law, Ethics and Regulation, 10(3), 64-69.
77. Mansfield, R. J. (2007). P4P is changing me. Medical Economics, 84(9), 56-60.
78. Martin, G. (1994). Performance‐related Pay in Nursing: Theory, Practice ve Prospect. Health Manpower Management, 20(5), 10-17.
79. Meessen, B., Kashala, J. P. I. & Musango, L. (2007). Output-based payment to boost staff productivity in public health centres: contracting in Kabutare district, Rwvea. Bulletin of the World Health Organization, 85(2), 108-115.
80. Menya, D., Platt, A., Manji, I., Sang, E., Wafula, R., Ren, J., Cheruiyot, O., Armstrong, J., Neelon, B. & O’Meara, W. P. (2015). Using pay for performance incentives (P4P) to improve management of suspected malaria fevers in rural Kenya: a cluster randomized controlled trial. BMC Medicine, 13, 1-13.
81. Mercer. (2019). Performance transformation in the future of work: Four truths and three predictions based on insights from Mercer’s 2019 global performance management study. Erişim adresi: https://www.mercer.us/content/dam/mercer/ attachments/private/us-2019-performance-transformationin-the-future-of-work.pdf.
82. Ministry of Health Burundi (2010). Manuel de procédures pour la mise en oeuvre du financement basé sur la performance au Burundi. Bujumbura: Version Originale.
83. National Quality Forum. (t.y.) National Voluntary Consensus Stveards for Nursing-Sensitive Care: An Initial Performance Set. Washington, DC: National Quality Forum. Erişim tarihi: 24 Mart 2024. http://www. qualityforum.org/nursing.
84. Navathe, A. S., Volpp, K. G., Caldarella, K. L., Bond, A., Troxel, A. B., Zhu, J., Matloubieh, S., Lyon, Z., Mishra Meza, A., Sacks, L., Nelson, C., Patel, P., Shea, J., Calcagno, D., Vittore, S., Sokol, K., Weng, K., McDowald, N., Crawford, P., Small, D. & Emanuel, E. J. (2019). Effect of financial bonus size, loss aversion, and increased social pressure on physician pay-for-performance: a randomized clinical trial and cohort study. JAMA Network Open, 2(2), e187950-e187950.
85. Needleman, J., Kurtzman, E. T. & Kizer, K. W. (2007). Performance measurement of nursing care. Medical Care Research ve Review, 64(2_suppl), 10S-43S.
86. Olafsdottir, A. E., Mayumana, I., Mashasi, I., Njau, I., Mamdani, M., Patouillard, E., Binyaruka, P., Abdulla, S. & Borghi, J. (2014). Pay for performance: an analysis of the context of implementation in a pilot project in Tanzania. BMC Health Services Research, 14, 1-9.
87. O'Kane, M. E. (2007). Performance-based measures: the early results are in. Journal of Managed Care Pharmacy, 13(2 Supp B), 3-6.
88. Page, A. (Ed.). (2004). Keeping patients safe: Transforming the work environment of nurses. Washington, DC: National Academies Press.
89. Paul, E., Sossouhounto, N. & Eclou, D. S. (2014). Local stakeholders’ perceptions about the introduction of performance-based financing in Benin: a case study in two health districts. International Journal of Health Policy ve Management, 3(4), 207.
90. Peabody, J. W., Shimkhada, R., Quimbo, S., Solon, O., Javier, X. & McCulloch, C. (2014). The impact of performance incentives on child health outcomes: results from a cluster randomized controlled trial in the Philippines. Health Policy and Planning, 29(5), 615-621.
91. Pearson, S. D., Schneider, E. C., Kleinman, K. P., Coltin, K. L. & Singer, J. A. (2008). The impact of pay-for-performance on health care quality in Massachusetts, 2001-2003. Health Affairs, 27(4), 1167-1176.
92. Peckham, S. (2007). The new general practice contract and reform of primary care in the United Kingdom. Healthcare Policy, 2(4), 34.
93. Petersen, L. A., Woodard, L. D., Urech, T., Daw, C. & Sookanan, S. (2006). Does pay-for-performance improve the quality of health care? Annals of Internal Medicine, 145, 265-272.
94. Practice incentive program (PIP) Medicare Australia. Available from: http://www.medicareaustralia.gov.au/provider/incentives/pip/index.jsp.
95. Reiter, K. L., Nahra, T. A., Alexveer, J. A. & Wheeler, J. R. (2006). Hospital responses to pay-for-performance incentives. Health Services Management Research, 19(2), 123-134.
96. Reiter, K. L., Kilpatrick, K. E., Greene, S. B., Lohr, K. N. & Leatherman, S. (2007). How to develop a business case for quality. International Journal for Quality in Health Care, 19, 50-55.
97. Relman, A. S. (2007). Medical professionalism in a commercialized health care market. The Journal of the American Medical Association, 298(22), 2668-2670.
98. Rob, U. & Alam, M. M. (2014). Performance-based incentive for improving quality of maternal health services in Bangladesh. International Quarterly of Community Health Education, 34(4), 303-312.
99. Rowe, J. W. (2006). Pay-for-performance ve accountability: related themes in improving health care. Annals of Internal Medicine, 145(9), 695-699.
100. Rowe, A. K., De Savigny, D., Lanata, C. F. & Victora, C. G. (2005). How can we achieve ve maintain high-quality performance of health workers in low-resource settings?. The Lancet, 366(9490), 1026-1035.
101. Rudasingwa, M. & Uwizeye, M. R. (2017). Physicians’ ve nurses’ attitudes towards performance-based financial incentives in Burundi: a qualitative study in the province of Gitega. Global Health Action, 10(1),
102. Scott, D. E. (2008). Pay for performance: a nursing perspective. Nursing that Works, 24.
103. Seyirci, D. (2009). Hemşire performansı değerlendirme sistemi: İzmir asker hastanesi örneği. Yayımlanmamış Yüksek Lisans Tezi, Dokuz Eylül Üniversitesi, İzmir.
104. Shen, Y. (2003). Selection incentives in a performance‐based contracting system. Health Services Research, 38(2), 535-552.
105. Sibomana, S. & Reveillon, M. (2015). Burundi: Performance based financing of priority health services. Improving Health System Efficiency series, Geneva. World Health Organization, 27, 58.
106. Smith, A. L. (2007). Merging PBÖ ve disease management: how do you know which one is working?. Journal of Managed Care Pharmacy, 13(2 Supp B), 7-10.
107. Skaggs, K. J., Dickinson, A. M. & O'Connor, K. A. (2008). The use of concurrent schedules to evaluate the effects of extrinsic rewards on" intrinsic motivation": A replication. Journal of Organizational Behavior Management, 12(1), 45-83.
108. Şahiner, İ. T., Esen, E., Uçar, A. D., Karaca, A. S. & Yastı, A. Ç. (2022). Pay for performance system in Turkey and the world; a global overview. Turkish Journal of Surgery, 38(1), 46.
109. Welton, J. M., Zone-Smith, L. & Fischer, M. H. (2006). Adjustment of inpatient care reimbursement for nursing intensity. Policy, Politics ve Nursing Practice, 7(4), 270-280.
110. Werner, R. M., Kolstad, J. T., Stuart, E. A. & Polsky, D. (2011). The effect of pay-for-performance in hospitals: lessons for quality improvement. Health Affairs, 30(4), 690-698.
111. Werner, R. M., Goldman, L. E. & Dudley, R. A. (2008). Comparison of change in quality of care between safety-net and non–safety-net hospitals. The Journal of the American Medical Association, 299(18), 2180-2187.
112. White, G. (2016). Performance-related pay. In Encyclopedia of Human Resource Management. Edward Elgar Publishing Limited.
113. World Bank. 2004. World Development Report 2004: Making services work for poor people. Washington, DC: The World Bank Group.
114. World Health Organization. Guidelines on incentives for health professionals. Erişim tarihi: 18 Mart 2024. http://www.who.int/pmnch/topics/health_systems/healthprofessional_ incentives/en/index.html.
115. Van Herck, P., De Smedt, D., Annemans, L., Remmen, R., Rosenthal, M. B. & Sermeus, W. (2010). Systematic review: effects, design choices, and context of pay-for-performance in health care. BMC Health Services Research, 10, 1-13.
116. Zhou, W., Jian, W., Wang, Z., Pan, J., Hu, M. & Yip, W. (2021). Impact of global budget combined with pay-for-performance on the quality of care in county hospitals: a difference-in-differences study design with a propaensity-score-matched control group using data from Guizhou province, China. BMC Health Services Research, 21, 1-8.