. Bahram Delgoshaei; . Soudabeh Vatankhah; . Amin Sarabandi
Volume 10, Issue 8 , August 2020, , Pages 1-7
Abstract
CONTEXT: Payment mechanisms are one of the effective tools for achieving optimal results inhealth system. Pay for performance (P4P) is one of the best programs to enhance the quality ...
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CONTEXT: Payment mechanisms are one of the effective tools for achieving optimal results inhealth system. Pay for performance (P4P) is one of the best programs to enhance the quality ofhealth services through financial incentives. Considering of implementing family physician programin Iran and the P4P system, it is essential to address the challenges of implementing P4P systemin the family physician program.AIMS: This study aimed to investigate the challenges of implementation of P4P system in familyphysician program.SETTINGS AND DESIGN: The qualitative study was carried out at areas covered by Iran Universityof Medical Sciences in Tehran, Iran.MATERIALS AND METHODS: The semi‑structured interview was conducted on 32 key informantsin 2019. The sampling method was determined based on purposeful sampling. The topic guideof interviews was experiences in implementing of family physician program and challenges ofimplementing P4P system. Participants had least 5‑year experience in the family physician program.STATISTICAL ANALYSIS USED: A framework analysis was used to analyze the data using thesoftware MAXQDA 10.RESULTS: The current study identified 7 themes, 14 subthemes, and 46 items related to thechallenges to successful implementation of P4P systems in the family physician program includingfamily physicians’ workload, family physician training, promoting family physician program, payingto the family physician team, assessment and monitoring systems, information management, andthe level of authority of family physicians.CONCLUSION: The study results demonstrated notable challenges for successful implementationof P4P system which can helpful to managers and policymakers.