Document Type : Original Article
Authors
1 MSc, health Services management, Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
2 Associated professor, Health Services Management, Health Services Management Research Center (NPMC), Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences , Tabriz, Iran
3 Assistant Professor, Biostatistics, Medical Education Research Center, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
4 PhD Student, Health Services Management, Iranian Center of Excellence in Health Management, Department of Health Services Management, Faculty of Management and Medical Informatics, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
5 MSc, public management, Islamic Azad University, Sardasht branch, Tabriz, Iran
Abstract
Introduction: payment systems can be an important tool in health policy. We evaluate the impact of different methods of payment (capitation, salary, fee for service payment) on the performance indicators of family physicians. The study aim is to identification and making priorities of family physician performance indicators to select an appropriate payment mechanism.Methods: this study used mixed methodology. There, several and different tools are used to gather data at any stage. Literature review has been done to identify Family physician performance indicators, in addition to literature review, expert panel also used and to prioritize performance indicator, payment mechanisms based on performance indicators and to choose best payment, AHP technique has been used. The data were analyzed by Excel 2007 and Expert choice 11 software's.Results: Of the 63 family physician performance indicators, the expert panel members achieved positive consensus on 10 performance indicator. With inconsistent of 0.08, Cost, preventive care and health promotion rate, patient satisfaction, physician satisfaction, referral rate, quantity, physician retention in underserviced area have been choose to be the most key performance indicators. in prioritization of payment mechanisms due to performance indicators, capitation method with inconsistency ratio of 0.04 was selected to be the best model.
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