Cargando…
Mapping barriers and facilitators to healthcare provider payment reform
BACKGROUND: Health care systems are constantly evolving to better meet changing health needs and to adapt to external pressures. Reforms are therefore an integral part of health systems. One of the most common reforms concerns provider payment systems, including changes to payment methods. These are...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595729/ http://dx.doi.org/10.1093/eurpub/ckad160.1649 |
_version_ | 1785124937434923008 |
---|---|
author | Ndayishimiye, C Tambor, M Katarzyna, D J |
author_facet | Ndayishimiye, C Tambor, M Katarzyna, D J |
author_sort | Ndayishimiye, C |
collection | PubMed |
description | BACKGROUND: Health care systems are constantly evolving to better meet changing health needs and to adapt to external pressures. Reforms are therefore an integral part of health systems. One of the most common reforms concerns provider payment systems, including changes to payment methods. These are considered one of the most important levers through which policymakers can influence the performance of health system. The objective of this study was to identify, systemize and map the factors (barriers and facilitators) that influence provider payment reforms around the world. METHODS: A scoping literature review was conducted. The study followed the relevant methodological guidelines and the PRISMA-ScR checklist. The authors systematically searched the literature in five databases and manually in relevant organisations and journals. Studies published in English since 2000 were included. Data on factors influencing payment reform were analysed thematically using inductive approach. RESULTS: The study included 51 publications, mostly from developed countries (n = 36). The most commonly changed payment method was fee-for-service (72%, n = 37). The study identified 43 sub-themes on barriers (grouped into eight major themes) and 51 sub-themes on facilitators (grouped into six major themes). Barriers include stakeholder opposition, challenges related to reform design, hurdles in implementation structures, insufficient resources, challenges related to market structure, legal barriers, knowledge and information gaps, and negative publicity. Facilitating factors include stakeholder involvement, complementary policies, relevant prior experience, good leadership and management of change, sufficient resources, and external pressure to introduce the reform. CONCLUSIONS: Factors influencing payment system reform are often interrelated, contextual, and represent a variety of perspectives, including those of patients, providers, insurers, and policymakers. KEY MESSAGES: • The same factor can act as a barrier or facilitator to provider payment reform, depending on the context. • When planning payment reform, policymakers should anticipate the potential barriers and plan appropriate facilitating measures. |
format | Online Article Text |
id | pubmed-10595729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105957292023-10-25 Mapping barriers and facilitators to healthcare provider payment reform Ndayishimiye, C Tambor, M Katarzyna, D J Eur J Public Health Poster Displays BACKGROUND: Health care systems are constantly evolving to better meet changing health needs and to adapt to external pressures. Reforms are therefore an integral part of health systems. One of the most common reforms concerns provider payment systems, including changes to payment methods. These are considered one of the most important levers through which policymakers can influence the performance of health system. The objective of this study was to identify, systemize and map the factors (barriers and facilitators) that influence provider payment reforms around the world. METHODS: A scoping literature review was conducted. The study followed the relevant methodological guidelines and the PRISMA-ScR checklist. The authors systematically searched the literature in five databases and manually in relevant organisations and journals. Studies published in English since 2000 were included. Data on factors influencing payment reform were analysed thematically using inductive approach. RESULTS: The study included 51 publications, mostly from developed countries (n = 36). The most commonly changed payment method was fee-for-service (72%, n = 37). The study identified 43 sub-themes on barriers (grouped into eight major themes) and 51 sub-themes on facilitators (grouped into six major themes). Barriers include stakeholder opposition, challenges related to reform design, hurdles in implementation structures, insufficient resources, challenges related to market structure, legal barriers, knowledge and information gaps, and negative publicity. Facilitating factors include stakeholder involvement, complementary policies, relevant prior experience, good leadership and management of change, sufficient resources, and external pressure to introduce the reform. CONCLUSIONS: Factors influencing payment system reform are often interrelated, contextual, and represent a variety of perspectives, including those of patients, providers, insurers, and policymakers. KEY MESSAGES: • The same factor can act as a barrier or facilitator to provider payment reform, depending on the context. • When planning payment reform, policymakers should anticipate the potential barriers and plan appropriate facilitating measures. Oxford University Press 2023-10-24 /pmc/articles/PMC10595729/ http://dx.doi.org/10.1093/eurpub/ckad160.1649 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Displays Ndayishimiye, C Tambor, M Katarzyna, D J Mapping barriers and facilitators to healthcare provider payment reform |
title | Mapping barriers and facilitators to healthcare provider payment reform |
title_full | Mapping barriers and facilitators to healthcare provider payment reform |
title_fullStr | Mapping barriers and facilitators to healthcare provider payment reform |
title_full_unstemmed | Mapping barriers and facilitators to healthcare provider payment reform |
title_short | Mapping barriers and facilitators to healthcare provider payment reform |
title_sort | mapping barriers and facilitators to healthcare provider payment reform |
topic | Poster Displays |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595729/ http://dx.doi.org/10.1093/eurpub/ckad160.1649 |
work_keys_str_mv | AT ndayishimiyec mappingbarriersandfacilitatorstohealthcareproviderpaymentreform AT tamborm mappingbarriersandfacilitatorstohealthcareproviderpaymentreform AT katarzynadj mappingbarriersandfacilitatorstohealthcareproviderpaymentreform |