Turkey - Performance Based Contracting Scheme in Family Medicine : Design and Achievements
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 t...
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| Format: | Other Health Study |
| Language: | English en_US |
| Published: |
Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2013/02/17747049/turkey-performance-based-contracting-scheme-family-medicine-design-achievements http://hdl.handle.net/10986/16532 |
| Summary: | 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. |
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