Relationship between establishing a quality-based payment program and performance indicators of health care providers and health workers in health centers of Miyaneh city

The main purpose of this study is to investigate the relationship between establishing a quality-based payment program and performance indicators of health care providers and health workers in health centers of Miyaneh city.

The target population of this study is health care providers and health workers in health centers in Miyaneh city and sampling is by census. Health workers working in all health centers, numbering 180, and health care workers working in health centers in Miyaneh city, numbering 48, were included in the study. Since in the present study, all members of the statistical community are studied, so the sampling method used is census. Data collection in this study was done through system data (registration) of East Azerbaijan Health Center on performance indicators of health workers and health care providers. The present study is descriptive of correlation and applied in terms of purpose. Repeated Measure test (repeated measures analysis of variance) was used to compare performance indicators over time. Because in this study, the target groups are measured at different times to determine the changes due to an intervention, the test includes: descriptive statistics and the introduction of variables related to the analysis, Multivariate Tests, two-to-two analysis and marginal mean And analysis of variance was repeated measures of size and combination of levels of operating variables. The significance level of the tests was considered 0.05. All data were analyzed using SPSS-19 statistical software.

The results showed that between the implementation of quality-based payment program with the performance indicators of health care providers including pregnancy care coverage index (pv=0.001 and p<0.05) and elderly care coverage index (pv=0.000 and p<0.05) a significant relationship was observed and also the results showed that between the implementation of quality-based payment program with the performance indicators of health care providers including child care coverage index (pv=0.168 and p>0.05) and Student care coverage index (pv=0.585 and p>0.05) a significant relationship was not observed. The results also showed that between the implementation of quality-based payment program with the performance indicators of health workers including pregnancy care coverage index (pv=0.000 and p<0.05), child care coverage index (pv=0.000 and p<0.05) students care coverage index (pv=0.000 and p<0.05) and elderly care coverage index (pv=0.000 and p<0.05) a significant relationship was observed.

Quality-based payment method can lead to the improvement of quantitative and qualitative indicators related to the performance of health workers and caregivers with measures such as improving the individual and team performance of service providers in health centers.