An Ethical Analysis of Performance-Based Supplementary Payment in Turkey’s Healthcare System

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 patient...

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Bibliographic Details
Main Author: Kadioglu, Funda Gulay (Author)
Format: Electronic Article
Language:English
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Published: Cambridge Univ. Press 2016
In: Cambridge quarterly of healthcare ethics
Year: 2016, Volume: 25, Issue: 3, Pages: 493-496
Further subjects:B Health Transition Program
B health reform
B performance-based supplementary payment system
B pay for performance
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Summary: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.
ISSN:1469-2147
Contains:Enthalten in: Cambridge quarterly of healthcare ethics
Persistent identifiers:DOI: 10.1017/S096318011600013X