Speaker Biography

Halil Demir

Istanbul Rumeli University, Turkey

Title: Performance-Based Payment Systems in Health Institutions

Halil Demir
Biography:

Halil Demir is a lecturer of Istanbul Rumeli University, Department of Medical Documentation and Secretarial.He has been conducting lessons about Medical Documentation, Administration of Healthcare Facilities, Writing Techniques in Healthcare and Ethics of Healthcare for 2 years. He participated in "Green Growth and Sustainable Development Forum" as a Turkish Delegate in France(Paris) OECD Centre(20-22 November 2017).He took place in several symposiums, conferences and forum about Health Science and Healthcare Management with his papers and oral presentations such as "Global Social Responsibility Levels of The Medical School Students, Attitudes of Health Care Vocational School Students on Patient Privacy, The Effects of Different Attitudes of Health Administrators on Institution Employees”in France, Bulgaria, Kosovo, Bosnia and Herzagovina). Currently, his paper which is entitled  "Social Gender Perceptions of Women Working  in the Healthcare Sector" was accepted by West East Institute for oral presentation at Harvard Faculty Club(Boston, U.S.A.) between 29 June and 02 August 2019.

Abstract:

In parallel with the growth in enterprises, productivity has also gained importance in recent years. As a result of evaluating the conditions that affect the performance of employees in positive or negative aspects, supportive practices such as motivation programs or improvement of conditions are taken into consideration in order to eliminate the situations causing negativity. Performance-based payment systems are one of the effective ones.

In particular, Health Services, which is more complex than other services, has gained great importance not only for the benefit of the institution but also for the patients who are users. Research into the quality of health care has provided evidence of widespread deficits, even in countries with extensive resources for healthcare delivery. In an intervention to improve quality, a proportion of institutions' wages is directly linked to the outcome of quality indicators. This mechanism is known as for Pay for Performance ”(P4P). It has found application in the private sector rather than the public sector. In our country, it is limited. The most successful institution is the Ministry of Health. Since 2003 in Turkey "Health Transformation Program" (SDP) with significant reforms to regulate the health care system is realized. Incentives for better performance in health care have a variety of modes and methods. It is designed to encourage employees to perform better and improve the results of their work. It may include monetary or non-monetary incentives and may be applied to consumers, individual providers or institutions.

One of these models is the Payment by Performance system. In this system, beneficiaries are compared with each other based on a series of performance indicators and those who reach a high level of performance are financially rewarded. Although there are many studies related to performance-based wage systems, there are still no sufficient and up-to-date studies on the field of health. This study has been presented by classification of comparisons with the literature review by reference to domestic and foreign literature, and it will also be of great benefit for such future researches.