Perceptions of nurses and physicians on pay‐for‐performance in hospital: A systematic review of qualitative studies

Abstract

Aims: This study aimed to systematically examine perceptions of nurses and physicians on pay-for-performance in hospital.Background: Pay-for-performance projects have proliferated over the past two decades, most systematic reviews of which solely focused on its effectiveness in primary health care and the physicians' or nurses' attitudes. However, systematic reviews of qualitative approaches for better examining perceptions of both nurses and physicians in hospital were lacking.Evaluation: Electronic databases were systematically searched with date from the inception to 31 December 2020. Meta-aggregation synthesis methodology and the conceptual framework of the theory of planned behaviour were used to summarize findings.Key issues: A total of nine studies were included. Three major synthesized themes were identified: (1) perceptions of the motivation effects and positive outcomes,(2) perceptions about the design defects and negative effects and (3) perceptions of the obstacles in the implementation process. Conclusion:To maximize the intended positive effects, nurses' and physicians' perceptions should be considered and incorporated into the project design and implementation stage.Implications for Nursing Management: The paper gives enlightenment to nurse managers on improving and advancing the cause of nurses when planning for or evaluating their institutions' policies on pay-for-performance in the future research.

Performance Data Advocacy for Continuing Professional Development in Health Professions

“…32,33 Pay-for-performance systems are a closely related concept that involves financial incentives based on scores on specific performance measures that may pertain to clinical quality. [34][35][36] Numerous other related formats have been described, including performance measurement and quality measurement. Although the evidence remains fragmented, links between performance data and quality improvement have been made to CPD.…”

“…For instance, audit and feedback programs aim to “improve patient care by reviewing clinical performance against explicit standards and directing the action towards areas not meeting those standards.” 31 Others have described clinical performance feedback interventions that similarly include quantitative summaries of health professionals’ performance as a way of improving quality and overall system performance 32,33 . Pay-for-performance systems are a closely related concept that involves financial incentives based on scores on specific performance measures that may pertain to clinical quality 34–36 . Numerous other related formats have been described, including performance measurement and quality measurement.…”

Analisis Kebijakan Publik Dalam Derajat Kesehatan Di Papua

“…Kebijakan publik juga dapat meningkatkan akses dan kualitas layanan kesehatan. Sebuah penelitian menemukan bahwa kebijakan publik yang memberikan subsidi kesehatan kepada masyarakat miskin dapat meningkatkan akses mereka terhadap layanan kesehatan dan meningkatkan kualitas perawatan yang diterima (Li et al 2022). Kebijakan publik juga dapat mempromosikan perilaku hidup sehat melalui kampanye kesehatan dan edukasi.…”