Özet:

Today, public hospitals provide additional payments from returning capital income in addition to their wages to ensure that doctors work more efficiently and motivated. Additional payments are provided through the performance-based additional payment system within the framework of the relevant regulations in both the Ministry of Health and university hospitals. A variety of criticisms are brought because the system, doctors and public authorities are unable to provide a scientific performance assessment. The aim of the study is to create a performance-based additional payment model based on scientific basis using the TOPSIS method, one of the multi-critical decision-making techniques, and to demonstrate the applicability of the model without any difference in all public hospitals. As a result of the study, a more fair additional payment model is created, based on scientific methods, which takes into account the quality and efficiency of the healthcare provision, compared to the existing system.

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