Abstract

AIM: Payment methods of health workers effects health service providing positively or negatively in different forms. Performance Related Payment (PRP) System is a new supplementary payment method, implementing till 2004 in our country. But; as the way PRP is performed in our country, it can be accepted to be the main payment method. The aim of this study is searching the effects of PRP on primary health care in Bursa.
METHOD: Datas were taken from the web addresses and Annual Study Reports of Bursa Health Department and Ministry of Health and Bursa Region Department of Turkey Statistical Institution.
RESULTS: There had been some differences in health care quantities before and after the PRP, that is thought to be related with it. As an example; while examination and laboratory study numbers had increased, the ratio of referring had decreased. Besides, infant mortality rates had decreased, risk groups’ mean follow-up rates had increased. In general, these differences have to be seen possitive in terms of health care. But, because of the structure of the system, to have a judgement about the quality of the care is impossible.
CONCLUSIONS: If care has been evaluated not only in terms of quantity but also quality, beyond the desired, there had been some unfavorable returns of the system. For that reason leaving the system or to restructure is thought to be appropriate.

Key words: Primary Health Care, Revolving Fund, Performance Related Payment, Bursa

Article Language: Turkish English