The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review
Abstract Background High-performing primary care relies on effective interprofessional teams and provider payment arrangements. This study aims to examine the impact of provider remuneration mechanisms and intrinsic and extrinsic incentives in team-based primary care. Methods This rapid scoping revi...
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BMC
2025-02-01
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| Series: | BMC Primary Care |
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| Online Access: | https://doi.org/10.1186/s12875-024-02653-5 |
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| author | Monica Aggarwal Brian Hutchison Kristina M. Kokorelias Selin Bilgic Richard H. Glazier |
| author_facet | Monica Aggarwal Brian Hutchison Kristina M. Kokorelias Selin Bilgic Richard H. Glazier |
| author_sort | Monica Aggarwal |
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| description | Abstract Background High-performing primary care relies on effective interprofessional teams and provider payment arrangements. This study aims to examine the impact of provider remuneration mechanisms and intrinsic and extrinsic incentives in team-based primary care. Methods This rapid scoping review assessed various provider payment models and incentives in team-based primary care. Statistical tests were not applicable in this review. Results Fee-for-service models hindered team collaboration, while salaried and quality-based compensation models enhanced collaboration. Extrinsic incentives, such as pay-for-performance programs for physicians, showed mixed impacts on outcomes. Strong organizational cultures and leadership, resources, team meetings, training, clear protocols, and professional development opportunities facilitated teamwork. Intrinsic incentives like autonomy, mastery, and social purpose improved team performance and satisfaction. Conclusions This study underscores the importance of a holistic approach to designing interprofessional primary care teams. It highlights the need for implementing non-fee-for-service provider payment models and team-based pay-for-performance incentives. Investments in teams should include health human resources and leadership, training, guidelines, and professional development opportunities. Implementing a performance measurement framework for teams and regular public reporting can foster mastery. Continuous research and evaluation are crucial to optimizing teamwork and healthcare delivery in primary care settings. |
| format | Article |
| id | doaj-art-f31f35419452441b96a101086575579b |
| institution | Kabale University |
| issn | 2731-4553 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
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| series | BMC Primary Care |
| spelling | doaj-art-f31f35419452441b96a101086575579b2025-02-09T12:48:34ZengBMCBMC Primary Care2731-45532025-02-0126116910.1186/s12875-024-02653-5The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping reviewMonica Aggarwal0Brian Hutchison1Kristina M. Kokorelias2Selin Bilgic3Richard H. Glazier4Dalla Lana School of Public Health, University of TorontoDepartments of Family Medicine and Health Research Methods, Evidence and ImpactDepartment of Medicine, University Health NetworkDalla Lana School of Public Health, University of TorontoDalla Lana School of Public Health, University of TorontoAbstract Background High-performing primary care relies on effective interprofessional teams and provider payment arrangements. This study aims to examine the impact of provider remuneration mechanisms and intrinsic and extrinsic incentives in team-based primary care. Methods This rapid scoping review assessed various provider payment models and incentives in team-based primary care. Statistical tests were not applicable in this review. Results Fee-for-service models hindered team collaboration, while salaried and quality-based compensation models enhanced collaboration. Extrinsic incentives, such as pay-for-performance programs for physicians, showed mixed impacts on outcomes. Strong organizational cultures and leadership, resources, team meetings, training, clear protocols, and professional development opportunities facilitated teamwork. Intrinsic incentives like autonomy, mastery, and social purpose improved team performance and satisfaction. Conclusions This study underscores the importance of a holistic approach to designing interprofessional primary care teams. It highlights the need for implementing non-fee-for-service provider payment models and team-based pay-for-performance incentives. Investments in teams should include health human resources and leadership, training, guidelines, and professional development opportunities. Implementing a performance measurement framework for teams and regular public reporting can foster mastery. Continuous research and evaluation are crucial to optimizing teamwork and healthcare delivery in primary care settings.https://doi.org/10.1186/s12875-024-02653-5TeamsPrimary careRemunerationMotivationInterprofessionalFunding models |
| spellingShingle | Monica Aggarwal Brian Hutchison Kristina M. Kokorelias Selin Bilgic Richard H. Glazier The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review BMC Primary Care Teams Primary care Remuneration Motivation Interprofessional Funding models |
| title | The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review |
| title_full | The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review |
| title_fullStr | The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review |
| title_full_unstemmed | The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review |
| title_short | The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review |
| title_sort | impact of remuneration extrinsic and intrinsic incentives on interprofessional primary care teams results from a rapid scoping review |
| topic | Teams Primary care Remuneration Motivation Interprofessional Funding models |
| url | https://doi.org/10.1186/s12875-024-02653-5 |
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