Efeito do pagamento por desempenho em serviços de saúde bucal: revisão sistemática

Abstract

Payment for performance (P4P) refers to the transfer of money or material goods as a form of incentive for meeting certain goals or pre-established indicators. In this way, payment for performance has been adopted in several areas in the health sector, as a way of encouraging the team or professionals to achieve the proposed goals and thus improve the quality of the service provided. The objective of this study was to identify the effect of using P4P in oral health services. This is a systematic review of the literature. A search strategy was carried out using keywords in electronic databases, gray literature and reference lists of pre-selected studies. The selection process was conducted in two phases by three independent examiners, and included primary longitudinal observational or intervention studies. There were no restrictions related to the year or language of publication. The results were summarized in a descriptive way, since carrying out meta-analyses was not considered appropriate, considering that for the eligibility criteria, only 3 studies were considered for the final sample. From the results obtained, it was observed that oral health services that use this payment mechanism ended up achieving better performance in indicators relevant to oral health, and the causes for this should be further investigated by carrying out primary intervention-type studies with the presence of a control group and results based on information from quantifiable indicators.