Turkey - Performance Based Contracting Scheme in Family Medicine : Design and Achievements

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collection.link.95
https://openknowledge.worldbank.org/handle/10986/2203
collection.name.95
Other Health Study
dc.contributor.author
World Bank
dc.date.accessioned
2014-01-08T22:45:56Z
dc.date.available
2014-01-08T22:45:56Z
dc.date.issued
2013-02-15
dc.description.abstract
Prior to 2003, health outcomes in Turkey, including maternal and child health outcomes, lagged behind those of Organization for Economic Co-operation and Development (OECD) countries and of those in other middle income countries. This report aims to add to this body of evidence through the conduct of a comprehensive review of the scheme within the context of the overall family medicine program. It describes and assesses Turkey's performance based payment scheme in family medicine with regard to design, institutional arrangements, governance, monitoring and evaluation, implementation, results and financial implications. Potential areas for improvement are identified and further refinements of the current system are suggested. The report will also contribute to the current body of knowledge on the experience with pay for performance in primary care for the interest of other countries. The study methodology uses both quantitative and qualitative approaches. Further as the scheme was rolled out among Turkey's provinces gradually, the quantitative assessment uses before-and-after comparisons for providers/provinces in the scheme as well as comparison of providers/provinces in the scheme and outside the scheme where feasible. Three focus groups were conducted with Family Medicine Practice (FMP) doctors, FMP health personnel and division chiefs (or deputies) from the provincial administration/Community Health Centers (CHC) to obtain their views about the performance-based contracting scheme and to complement the information gathered from other sources.
en
dc.identifier.uri
http://hdl.handle.net/10986/16532
dc.language
English
dc.language.iso
en_US
dc.publisher
Washington, DC
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
dc.title
Turkey - Performance Based Contracting Scheme in Family Medicine : Design and Achievements
en
dc.title.alternative
Turkiye - Aile hekimliginde performansa dayali sozleime uygulamasi : tasarim ve kazanimlar
en
okr.date.disclosure
2013-05-23
okr.doctype
Economic & Sector Work :: Other Health Study
okr.doctype
Economic & Sector Work
okr.docurl
http://documents.worldbank.org/curated/en/2013/02/17747049/turkey-performance-based-contracting-scheme-family-medicine-design-achievements
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
000333037_20130523093007
okr.identifier.internaldocumentum
17747049
okr.identifier.report
77029
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/05/23/000333037_20130523093007/Rendered/PDF/770290Revised0box377292B00PUBLIC00.pdf
en
okr.region.administrative
Europe and Central Asia
okr.region.country
Turkey
okr.sector
Health and other social services :: Health
okr.theme
Human development :: Health system performance
okr.theme
Public sector governance :: Public expenditure, financial management and procurement
okr.unit
Health and Nutrition (ECSH1)
okr.volume
1 of 1

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