探讨医院实施基于绩效的支付计划的挑战和特点：系统评价方案。

Exploring the challenges and features of implementing performance-based payment plan in hospitals: a protocol for a systematic review.

机构信息

Student Research Committee (SRC), Tabriz University of Medical Sciences, Tabriz, Iran.

Iranian Center of Excellence in Health Management (IceHM), Department of Health Service Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, University Rd, Golbad, EAZN, Tabriz, 5165665811, Iran.

出版信息

Syst Rev. 2021 Apr 17;10(1):114. doi: 10.1186/s13643-021-01657-x.

DOI:10.1186/s13643-021-01657-x

PMID:33863372

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8052724/

Abstract

BACKGROUND

Implementing performance-based payment (PBP) plan has led to developing a number of significant potentialities such as performance improvement and effectiveness, quality improvement of provided services, and decline in health system expenditure in hospitals. Despite the fact that PBP plan has a variety of potential advantages, its implementation still may face some challenges. Hence, it seems crucial to identify these barriers and challenges in order to devise some strategies and interventions to pave the way for better implementation of PBP in hospitals. The aim of this proposed protocol is to identify, summarize, and synthesize the existing evidence by undertaking a systematic review to explore the challenges, barriers, and features of implementing PBP in hospitals.

METHODS AND ANALYSIS

An inclusive search of the literature will be conducted in seven international and national databases including PubMed/MEDLINE, Scopus, Cochrane Library and Web of Science, Magiran, Scientific Information Database (SID), and Barakat knowledge network system (BKNS). The search will be limited to the studies published in English or Persian language. Database search will be supplemented by hand-search of citation, reference lists, and grey literature sources. Based on the pre-established criteria in all steps of the review, two researchers will independently screen all of the retrieved studies. Any discrepancies will be resolved through a discussion between two researchers. In cases where consensus is not reached, it will be referred to a third researcher. The methodological quality of all the included studies will be appraised using the Mixed Methods Appraisal Tool (MMAT). The data will be extracted by means of using a data extraction form, which will be developed and piloted by the research team. The findings will be synthesized through directed content analysis method.

DISCUSSION

With the growth and development of payment systems all over the world, it is expected that recognizing the challenges of implementing a PBP plan in hospitals will be useful in developing and designing strategies to better implement this plan.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO registration number CRD42020152569.

摘要

背景

实施基于绩效的支付（PBP）计划带来了许多显著的潜力，如提高绩效和效果、提高提供服务的质量以及降低医院的卫生系统支出。尽管 PBP 计划具有多种潜在优势，但在实施过程中仍可能面临一些挑战。因此，识别这些障碍和挑战似乎至关重要，以便制定一些策略和干预措施，为医院更好地实施 PBP 铺平道路。本研究旨在通过系统评价，确定、总结和综合现有证据，以探讨医院实施 PBP 的挑战、障碍和特点。

方法和分析

将在包括 PubMed/MEDLINE、Scopus、Cochrane 图书馆和 Web of Science、Magiran、科学信息数据库（SID）和 Barakat 知识网络系统（BKNS）在内的七个国际和国家数据库中进行全面的文献搜索。搜索将仅限于以英文或波斯语发表的研究。将通过对引文、参考文献列表和灰色文献来源的手动搜索来补充数据库搜索。根据审查的所有步骤中预先设定的标准，两名研究人员将独立筛选所有检索到的研究。任何差异都将通过两名研究人员之间的讨论来解决。如果无法达成共识，则将提交给第三名研究人员。将使用混合方法评估工具（MMAT）评估所有纳入研究的方法学质量。将通过使用由研究团队开发和试点的的数据提取表来提取数据。将通过定向内容分析方法综合研究结果。