Table 4 Perceptions about pay-for-performance programs of surveyed family physicians that may affect participation willingness*
Items | Participants (n = 266)a N (%) | Non-participants (n = 277)a N (%) | P value | |
|---|---|---|---|---|
P4P programs help enhance healthcare quality | Agree | 215 (80.8) | 177 (64.1) | < 0.001* |
Neutral or no opinion | 37 (13.9) | 70 (25.4) | ||
Disagree | 14 (05.3) | 29 (10.5) | ||
P4P programs help reduce NHI expenditure | Agree | 168 (63.4) | 140 (50.7) | 0.002* |
Neutral or no opinion | 75 (28.3) | 88 (31.9) | ||
Disagree | 22 (8.3) | 48 (17.4) | ||
P4P programs helps increase income. | Agree | 111 (42.0) | 96 (34.9) | 0.08 |
Neutral or no opinion | 109 (41.3) | 114 (41.5) | ||
Disagree | 44 (16.7) | 65 (23.6) | ||
P4P programs help decrease the dependence of fee-for-service model on quantity of care, thereby improving physicians’ quality of life | Agree | 134 (51.0) | 125 (45.6) | 0.44 |
Neutral or no opinion | 89 (33.8) | 100 (36.5) | ||
Disagree | 40 (15.2) | 49 (17.9) | ||
It is not easy for P4P programs to demonstrate the healthcare quality they claims to improve | Agree | 86 (33.0) | 118 (42.9) | < 0.001* |
Neutral or no opinion | 101 (38.7) | 118 (42.9) | ||
Disagree | 74 (28.4) | 39 (14.2) | ||
Participation in P4P programs involves steep financial risk | Agree | 81 (31.2) | 93 (33.8) | < 0.001* |
Neutral or no opinion | 103 (39.6) | 136 (49.5) | ||
Disagree | 76 (29.2) | 46 (16.7) | ||
Participation in P4P programs increases workload | Agree | 206 (79.2) | 218 (79.6) | 0.19 |
Neutral or no opinion | 35 (13.5) | 45 (16.4) | ||
Disagree | 19(7.3) | 11(4.0) | ||
It is not an easy task understanding P4P programs | Agree | 160 (61.8) | 173 (62.9) | 0.004* |
Neutral or no opinion | 63 (24.3) | 86 (31.3) | ||
Disagree | 36 (13.9) | 16(5.8) | ||
Participation in P4P programs may increase the risk of medical disputes | Agree | 35 (13.5) | 63 (22.9) | < 0.001* |
Neutral or no opinion | 101 (38.8) | 143 (52.0) | ||
Disagree | 124 (47.7) | 69 (25.1) | ||
Current reward incentives and quality and other related indicators are not satisfying enough to induce my P4P participation willingness | Agree | 102 (39.4) | 133 (48.7) | 0.003* |
Neutral or no opinion | 107 (41.3) | 114 (41.8) | ||
Disagree | 50 (19.3) | 26(9.5) | ||