Behavioral Impact on Clinical Specialist Payment Method: A Systematic Review

Daud, F (通讯作者),Univ Kebangsaan Malaysia, Fac Med, Dept Community Hlth, Kuala Lumpur, Malaysia.;Daud, F (通讯作者),SEGI Univ, Grad Sch Business, Jalan Teknol, Kota Damansara, Selangor, Malaysia.
2022-7
Background: With growing healthcare (HC) expenditures and limited funding, policymakers need to find new ways to provide healthcare that is affordable and fair. There are many methods for paying specialists, and the three basic payment methods include fee-for-service (FFS), capitation, and salary. This review focuses on identifying published articles related to the different methods used for paying specialists for their service and further highlights their advantages and disadvantages. Methods: The research was designed and carried out in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Five databases were used in the literature search ie: Scopus, Web of Science, Ovid Medline, EBSCOhost, and PubMed in 2020. The search term used revolved around physician, payment method and specialist behavior. Results: Databases were searched electronically using EndNote X9.2, wherein 588 related studies of literature were included. Meanwhile, it went down to 546 related studies after the title and abstract screening was conducted in order to eliminate duplicates. In total, 24 studies were then left to be reviewed in full text; finally, 12 studies were integrated into this analysis after a description of the entire text of the studies. Conclusion: Payment methods can affect physician practice behaviors and the quality of healthcare. The combination of payment methods may, however, combine the benefits of simple payment methods. Where there is not adequate mixing of methods, bonus-for-performance programs may encourage the provision of targeted services. Thus, before a new medical policy is implemented, policymakers must define and empirically examine the positive and negative impacts.
IRANIAN JOURNAL OF PUBLIC HEALTH
卷号:51|期号:7|页码:1469-1480
ISSN:2251-6085|收录类别:SCIE
语种
英语
来源机构
Universiti Kebangsaan Malaysia; SEGi University
资助机构
UKM
资助信息
This study was made possible with a research grant [GUP-2019-080] awarded by UKM.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
1
2013以来使用计数
1
EISSN
2251-6093
出版年
2022-7
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Payment methods Specialists behavior Fee-for-service Salary Capitation