title: An Ethical Analysis of Performance-Based Supplementary Payment in Turkey's Healthcare System.
abstract: In 2003 Turkey introduced the Health Transition Program to develop easily accessible, high-quality, and effective healthcare services for the population. This program, like other health reforms, has three primary goals: to improve health status, to enhance financial protection, and to ensure patients' satisfaction. Although there is considerable literature on the anticipated positive results of such health reforms, little evidence exists on their current effectiveness. One of the main initiatives of this health reform is a performance-based supplementary payment system, an additional payment healthcare professionals receive each month in addition to their regular salaries. This system may cause some ethical problems. Physicians have an ethical duty to provide high-quality care to each patient; however, pay-for-performance and other programs that create strong incentives for high-quality care set up a potential conflict between this duty and the competing interest of complying with a performance measure.
authors.forename: Funda Gulay
authors.initials: FG
authors.lastname: Kadioglu
mesh_terms: D003695:Delivery of Health Care; D026689:Ethical Analysis; D018166:Health Care Reform / Q000941:ethics*; D006293:Health Promotion / Q000331:legislation & jurisprudence; D006801:Humans; D017060:Patient Satisfaction; D015397:Program Evaluation; D012052:Reimbursement, Incentive / Q000941:ethics* / Q000331:legislation & jurisprudence; D014421:Turkey
keywords: Health Transition Program; health reform; pay for performance; performance-based supplementary payment system