Medical Doctors’ Attitudes towards Pay-For-Reporting in Macedonia: A Web-Based Cross-Sectional Survey

Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2012, Vol 5, Issue 4

Abstract

Objective: To determine medical doctors’ attitudes towards the implementation of the new pay-forreporting system in the public hospital sector. Data Source: An electronic survey was conducted among 303 medical doctors in the Republic of Macedonia using the database of Healthgrouper.com, an online provider of information for healthcare providers. Principal Findings: Majority (61.9%) of all surveyed doctors are against the proposed pay-for-reporting (P4R) reform. Disapproval is much higher among the doctors employed at the public hospitals where 79% consider that pay-for-reporting project has to be abandoned. Doctors are against the proposed P4R system that only measures quantity of the work. According to majority of the doctors current model is subjective; it opens possibilities for bias and missconduct, and puts the clinical teamwork at jeopardy. Conclusions:Massive support against the implemented P4R reform was expressed by the Macedonian doctors employed in the public sector. The model should integrate parameters such as quality and complexity of delivered services to patients. Better integration and engagement of doctors is essential to assure support and smooth implementation of P4R reform as sound policy in practice. The Ministry of Health should set key parameters to be monitored by hospitals to evaluate the success of the P4R system.

Authors and Affiliations

Vladimir Lazarevik| Institute of Pathology, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Blasko Kasapinov| Ss Cyril and Methodius University of Skopje, Faculty of Medicine, Institute of Social Medicine, Skopje, Republic of Macedonia

Keywords

Related Articles

Pathological Fracture Secondary to Squamous Cell Carcinoma: A Case Report and Review of Literature

Squamous cell carcinoma (SCC) is a malignant transformation of the epithelial tissue.We report a case of SCC in a 80 years old male Omani patient with six years history of chronic ulcer in his left leg.Patients radiogr...

Premature Atrial Contractions Managed With Slow Pathway Ablation

We present data from 18 year old male patient referred to our clinic for evaluation and treatment due to persistent premature atrial contractions (PAC). Up to the time of admission, the patient never experienced paroxy...

Preliminary Results of Introducing the Method Multiparameter Flow Cytometry in Patients with Acute Leukemia in the Republic of Macedonia

Background. In this paper we present the initial results of introducing the method of multiparameter flow cytometry (MPF) in patients with acute leukemia in the Republic of Macedonia. Aim. The aim of our study is to i...

Preemptive Epidural Analgesia with Bupivacaine and Sufentanyl and the Effects of Epiduraly Added Epinephrine for Thoracic Surgery

Aim. The aim of the study was to determine if preemptive epidural analgesia in thoracic surgery reduces postoperative pain, and to compare these effects in relation to the usage of epinephrine. Material and Methods. Si...

Zdravko Trojachanec. VIBROACOUSTIC MICROWAVE THERAPY. Skopje: Trojachanec; 2010. 163 pages; ISBN 978- 9989-4-9

Purpose. The book “Vibroacoustic Microwave Therapy” is the latest work of Prof. Dr. Zdravko Trojachanec, who is the founder of sports medicine in the Republic of Macedonia. As a professor with a long life experien...

Download PDF file
  • EP ID EP8894
  • DOI 10.3889/MJMS.1857-5773.2012.0246
  • Views 367
  • Downloads 16

How To Cite

Vladimir Lazarevik, Blasko Kasapinov (2012). Medical Doctors’ Attitudes towards Pay-For-Reporting in Macedonia: A Web-Based Cross-Sectional Survey. Macedonian Journal of Medical Sciences (MJMS), 5(4), 437-443. https://europub.co.uk/articles/-A-8894