[Financial incentives in improving healthcare quality. SESPAS Report 2012].
We address the contribution of financial incentives linked to pay for performance (P4P) to improving the quality of care. The situation of P4P is analyzed internationally and in the distinct health services in Spain. The participation of P4P in wage compensation and the effects of the current economic crisis on these incentives is discussed. We review the results of recent studies to clarify the role of these incentive models and assess possible orientations and new proposals.
Servicio de Atención Primaria de Bueu, XAP Pontevedra, Sergas, Conselleria de Sanidade, Xunta de Galicia, Pontevedra, España. carlos.eirea.eiras@sergas.es
Carlos
C
Eirea Eiras
Vicente
V
Ortún Rubio
D001315:Australia; D004467:Economics; D006040:Goals; D017408:Guidelines as Topic; D006282:Health Personnel / Q000191:economics*; D006801:Humans; D038622:Internationality; D009042:Motivation; D009313:National Health Programs / Q000191:economics*; D017063:Outcome Assessment, Health Care; D011320:Primary Health Care / Q000191:economics*; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000191:economics*; D058996:Quality Improvement; D012052:Reimbursement, Incentive; D018570:Risk Assessment; D012456:Salaries and Fringe Benefits; D013030:Spain; D006113:United Kingdom