Abstracts by key term: P4P
In the German healthcare system, too, the inflexible and almost anti-performance remuneration systems in the outpatient and inpatient sectors are repeatedly criticized. In particular, thanks to the Expert Council for the Assessment of Developments in the Health Care System in 2007 and the activities of the National Association of Statutory Health Insurance Physicians, an increasing dynamic towards P4P can now also be observed in Germany. In this context, the regulations on selective contracts play a special role. It is actually only logical to reward those who perform above average and/or those who have improved significantly. Experience with concepts mainly comes from the USA and Great Britain. The first approach presented here as an example was developed by the Integrated Health Association (IHA), an association of various healthcare players, in California. Another innovative approach in the European discussion is the reorganization of general practitioner remuneration in Great Britain. However, the situation is fundamentally different than in the American models, as this involves the distribution of additional money based on performance. Although there are still no valid evaluation results, the Advisory Council (SVR) found positive results in 21 of 28 studies. Accordingly, P4P is one of the most important developments in the international discussion in recent years.