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2011, Cilt 1, Sayı 3, Sayfa(lar) 142-151
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DOI: 10.5961/jhes.2011.021
The Concept of Performance Management in Payments from Revenues of Primary Care and Inpatient Public Health Institutions
Marmara University, Faculty of Health Sciences, Department of Health Management, İSTANBUL, TURKEY
Keywords: Health institutions, Revolving fund, Health economy, Directive of performance and quality in health, Performance management

This article is intended to identify supplementary payment systems based on performance in health services provided by public hospitals via revolving fund revenues. For this purpose, all relevant legislation about the regulation of performance-based supplementary payment system in health services was examined in detail. Health legislation analysis is exemplified. A simplified method is followed to help physicians and health care workers to grasp the issue in detail with examples. The performance management implemented for additional payments from revolving funds in hospitals is considered as payments given for every procedure performed by physicians and nurses. In fact, only 50% of the hospitals’ monthly income is distributed according to some conditions, no matter how much procedure is done. The packages in Health Care Implementation Notification do not include expenses of depreciation, electricity, water, heating and etc. 50% of the total amount of the revolving fund is multiplied by the hospital’s quality factor; the resulting amount is distributed to health personnel. The average score is taken for all physicians working in the hospital for making an additional payment of performance. Although there are not performance-based payment systems in Family Medicine Center and the Community Health Center yet, in the near future it is expected to be put in practice at least for some applications.

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