Target payments in primary care: effects on professional practice and health care outcomes

Cochrane Database of Systematic ReviewsPublished 25 October 1999Open access

Antonio Giuffrida, Toby Gosden, Frode Forland, Ivar S. Kristiansen, Michelle Sergison, Brenda Leese

DOI10.1002/14651858.cd000531

Source URL

Citations116

SJR quartileQ1

SJR score1.62

SNIP2.04

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TL;DR

The use of target payments in the remuneration of PCPs was associated with improvements in immunisation rates, but the increase was statistically significant in only one of the two studies.

Abstract

The evidence from the studies identified in this review is not of sufficient quality or power to obtain a clear answer to the question as to whether target payment remuneration provides a method of improving primary health care. Additional efforts should be directed in evaluating changes in physicians' remuneration systems. Although it would not be difficult to design a randomised controlled trial to evaluate the impact of such payment systems, it would be difficult politically to conduct such trials.

Keywords

Economics, Econometrics and FinanceHealth ProfessionsBusiness, Management and Accounting

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