Do family physicians need more payment for working better? Financial incentives in primary care.
BACKGROUND
Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries.


OBJECTIVE
Our study aims to describe and compare recent existing primary care indicators and related financing in European countries.


METHODS
Literature search was performed and questionnaires were sent to primary care experts of different countries within the European General Practice Research Network.


RESULTS
Ten countries have published primary care quality indicators (QI) associated with financial incentives. The number of QI varies from 1 to 134 and can modify the finances of physicians with up to 25% of their total income.


CONCLUSIONS
The implementations of these schemes should be critically evaluated with continuous monitoring at national or regional level; comparison is required between targets and their achievements, health gains and use of resources as well.
Assistant professor, Department of Family and Occupational Medicine, University of Debrecen, Hungary. Electronic address: Kolozsvari.Laszlo@sph.unideb.hu.
László Róbert
LR
Kolozsvári
Associate professor, Cathedra of Family Medicine, University Miguel Hernandez, Alicante, Spain. Electronic address: dorozcobeltran@gmail.com.
Domingo
D
Orozco-Beltran
Professor, Department of Family and Occupational Medicine, University of Debrecen, Hungary. Electronic address: Rurik.Imre@sph.unideb.hu.
Imre
I
Rurik
D010821:Physicians, Family; D011320:Primary Health Care; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D012052:Reimbursement, Incentive; D011795:Surveys and Questionnaires
Atención primaria; EGPRN; European Union; Healthcare quality indicators; Incentive Reimbursements; Indicadores de calidad de asistencia médica; Pago de incentivos; Pago por desempeño; Pay for performance; Primary care; Unión Europea