Incentive-Based Performance Evaluation Model for Healthcare Professionals in Hospitals: a Systematic Literature Review

Authors

  • Ni Luh Putu Sri Widani Muhammadiyah University of Yogyakarta
  • Qurrotul Aini Universitas Muhammdiyah Yogyakarta

DOI:

https://doi.org/10.47701/15d47q06

Keywords:

Health Workforce, Hospital Facilities, Human Resource Management, Performance Appraisal, Service Incentives

Abstract

Background: Health workers are the spearhead of hospitals whose performance is significantly influenced by reward systems, yet current incentive implementations often lack transparency and holism. This study aims to identify and classify various performance appraisal models based on service incentives through a systematic literature review approach. Method: The research method utilizes a systematic review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A structured literature search was conducted on Scopus, PubMed, ScienceDirect, and Google Scholar databases with inclusion criteria for empirical articles published between 2021–2025. Results: The synthesis results of 10 selected studies indicate that performance-based incentives significantly increase productivity, motivation, and multidisciplinary team collaboration in hospitals. Factors such as psychological well-being, managerial transparency, and altruism values were found to be important moderators influencing the effectiveness of financial incentives. Furthermore, the use of information technology and clinical quality indicators is proven to strengthen the objectivity of medical staff performance evaluation systems. Conclusion: This study concludes that a fair and managerially integrated incentive-based performance appraisal model is a crucial instrument in improving sustainable healthcare quality

Downloads

Download data is not yet available.

References

1. Ayuningtyas FD, Wibowo I. Analisis Kinerja Pelayanan Tenaga Medis Terhadap Pasien BPJS di RS Muhammadiyah Kota Bandung. JEMSI (Jurnal Ekon Manajemen, dan Akuntansi) [Internet]. 2024;10(4):2290–9. Available from: https://journal.lembagakita.org/jemsi/article/view/2575

2. Sumiati S, Dinata AS, Agustina D. MANAJEMEN MUTU PELAYANAN KESEHATAN ERA JAMINAN KESEHATAN NASIONAL. J Kesehat Tambusai [Internet]. 2023;4(3). Available from: https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/14880

3. Arofah AN, Noor VMM, Setyawan FEB, Shihab DAS. Dampak Akibat Implementasi Program JKN Terhadap Biaya Kesehatan di Fasilitas Kesehatan Tingkat Lanjutan. CoMPHI J Community Med Public Heal Indones Journal, 3(2), [Internet]. 2022;3(2):64–72. Available from: https://comphi.sinergis.org/comphi/article/view/104

4. Pravitasari PR, Wijaya IWS, Rosita NPI. Peran Manajemen Sumber Daya Manusia Rumah Sakit pada Masa Implementasi BPJS Kesehatan untuk Mengurangi Keluhan Pasien. Sehat Rakyat J Kesehat Masy [Internet]. 2025;4(4). Available from: https://journal.yp3a.org/index.php/sehatrakyat/article/view/5812

5. Fitriana F, Affrian R, Jumaidi J. PENGARUH INSENTIF JASA PELAYANAN TERHADAP MOTIVASI KERJA PEGAWAI PADA RSUD DATU KANDANG HAJI KABUPATEN BALANGAN. J MSDM Manaj Sumber Daya Mns [Internet]. 2025;2(2):942–52. Available from: https://ejurnal.stiaamuntai.ac.id/index.php/JMSDM/article/view/1587

6. Conrad DA. The Theory of Value-Based Payment Incentives and Their Application to Health Care. Health Serv Res. 2015 Dec;50 Suppl 2(Suppl 2):2057–89.

7. Santoso A, Windyaningsih C, Andarusito N. Analisis Formula Jasa Layanan Perawat Dalam Sistem Remunerasi di Ruang Rawat Inap Rsud Berkah Pandeglang. J Manaj dan Adm Rumah Sakit Indones [Internet]. 2023;7(1):8–16. Available from: https://ejournal.urindo.ac.id/index.php/MARSI/article/view/2924

8. Sambodo NP, Bonfrer I, Sparrow R, Pradhan M, van Doorslaer E. Effects of performance-based capitation payment on the use of public primary health care services in Indonesia. Soc Sci Med. 2023 Jun;327:115921.

9. Fahlevi M, Aljuaid M, Saniuk S. Leadership Style and Hospital Performance: Empirical Evidence From Indonesia. Front Psychol. 2022;13:911640.

10. Setiawan HW, Pratiwi IN, Nimah L, Pawanis Z, Bakhtiar A, Fauzinigtyas R, et al. Challenges for Healthcare Workers Caring for COVID-19 Patients in Indonesia: A Qualitative Study. Inquiry. 2021;58:469580211060291.

11. Solikha DA, Butler DC, Setiawan E, Korda RJ, Kelly M. Primary health care performance measurement at the service delivery level in Indonesia: a scoping review. BMC Health Serv Res. 2025 Jul;25(1):898.

12. Wahyuni TET, Qomariah N, Sanosra A. The Impact of Rewards and Punishments on Employee Performance in the Hospital Industry. Int J Manag Econ Invent [Internet]. 2024;10(8). Available from: https://www.rajournals.in/index.php/ijmei/article/view/1368/1094

13. Brunellia VN, Fox JA, Langbeckerc DH. Disparity in cancer survivorship care: A cross-sectional study of telehealth use among cancer nurses in Australia. Collegian [Internet]. 2021;28(5):498–505. Available from: https://www.collegianjournal.com/article/S1322-7696(21)00013-5/fulltext

14. Diaconu K, Falconer J, Verbel A, Fretheim A, Witter S. Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries. Cochrane Database Syst Rev [Internet]. 2021;5. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007899.pub3/full

15. George J, Jack S, Gauld R, Colbourn T. Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review. BMJ Open Sport Exerc Med [Internet]. 2023;13(12). Available from: https://bmjopen.bmj.com/content/13/12/e073669

16. Amirullah A, Suhadi S, Yuniar N. The effect of incentives on nurse performance at Bahteramas General Hospital, Indonesia. World J Adv Res Rev [Internet]. 2022;15(3):222–227. Available from: https://www.researchgate.net/publication/364052609_The_effect_of_incentives_on_nurse_performance_at_bahteramas_general_hospital_Indonesia

17. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021;372(n71). Available from: https://www.bmj.com/content/372/bmj.n71

18. Smela B, Toumi M, Świerk K, Gawlik K, Clay E, Boyer L. Systematic literature reviews over the years. J Mark access Heal policy. 2023;11(1):2244305.

19. Ahmad MM, Khan IA, Tiwari HC. The Pros and Cons of Systematic Review and Meta-Analysis: Methodological Insights and Future Directions. Digit J Clin Med [Internet]. 2024;6(4). Available from: https://rescon.jssuni.edu.in/cgi/viewcontent.cgi?article=1194&context=djcm

20. Herrera Ortiz AF, Garland ME, Almarie B. Clinical and Radiological Characteristics to Differentiate Between EGFR Exon 21 and Exon 19 Mutations in Patients With Lung Adenocarcinoma: A Systematic Literature Review and Meta-Analysis. Cureus. 2022 May;14(5):e25446.

21. AHRQ. 2021 National Healthcare Quality and Disparities Report [Internet]. Agency for Healthcare Research and Quality. 2021. 1–32 p. Available from: http://nhqrnet.ahrq.gov/inhqrdr/Mississippi/dashboard

22. Maharani I, Batubara S, Irdianty MS, Aziz D. Smart Diagnosing System Design To Accelerating Early Detection Of Postpartum Blues. J Keperawatan Glob [Internet]. 2022;7(2):108–24. Available from: https://jurnalkeperawatanglobal.com/index.php/jkg/article/view/596

23. Prihatin T, M.Subuh, Zaharudin Z. EFEKTIVITAS RUJUKAN DAN RUJUKAN BALIK DI RSUD SURYAH KHAIRUDDIN KABUPATEN TANJUNG JABUNG BARAT JAMBI. PREPOTIF J Kesehat Masy [Internet]. 2025;9(2):3378–93. Available from: https://journal.universitaspahlawan.ac.id/index.php/prepotif/article/view/45882

24. Kurniawan HD, Widiyanto A, Putri SI, Prisusanti RD. Meta-Analysis : The Effectiveness of Electronic Medical Record ( EMR ) on the Quality of Health Services. J Heal Policy Manag. 2024;09(02):168–76.

25. Li J, Stromberg A, Clouser JM, Du G, Dai C, Adu A. Comparing Groups of Care Transition Strategies to Improve Care — The ACHIEVE Study [Internet]. University of Kentucky PCORI; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK599945/pdf/Bookshelf_NBK599945.pdf

26. Checkland K, Bramwell D, Warwick-Giles L, Bailey S, Hammond J. Primary care networks as a means of supporting primary care: findings from qualitative case study-based evaluation in the English NHS. BMJ Open. 2023 Nov;13(11):e075111.

27. Wang H, He Q, Guo Y, Feng G, He X, Wan Z. Empirical Study on the Operational Status and Key Influencing Factors of Outpatient Multidisciplinary (MDT) Service Model: A Cross-Sectional Study in Sichuan Province, China. J Multidiscip Healthc [Internet]. 2025;18:4431—4442. Available from: https://www.dovepress.com/empirical-study-on-the-operational-status-and-key-influencing-factors--peer-reviewed-fulltext-article-JMDH

28. Huang S, Li J, Basu A. THE ROLE OF PHYSICIAN ALTRUISM IN THE PHYSICIAN-INDUSTRY RELATIONSHIP. National Bureau of Economic Research [Internet]. 2026 Feb; Available from: https://www.nber.org/system/files/working_papers/w33439/w33439.pdf

29. Ghobeishipour H, Mossadeghrad AM, Amiri N. Actual Nurse Turnover in Iranian University Hospitals: (2021-2024). BMC Health Serv Res. 2026;26(1).

30. Domlyn AM, Hooks G, Freitag M, Evans L, Stewart M, Damschroder L, et al. Core and modifiable components of academic detailing: demonstration of implementation strategy development, tailoring, and documentation process. Front Heal Serv. 2025;5:1521504.

31. Schaffler Y, Kaltschik S, Probst T, Jesser A, Pieh C, Humer E. Mental health in Austrian psychotherapists during the COVID-19 pandemic. Front public Heal. 2022;10:1011539.

32. Alderson S, Thomas C, Rossington H, Connearn E, Howell S. Development of actionable quality indicators and an implementation toolkit for perioperative opioid stewardship in colorectal cancer in the UK Yorkshire and Humber region: a modified RAND consensus study. BMJ Open [Internet]. 2025;15(e092675). Available from: https://bmjopen.bmj.com/content/bmjopen/15/9/e092675.full.pdf

33. Zhang N, Wu Q, Li S, Wang C, Mao A, Guo Q, et al. Trends and inequality of human resource in centers for disease control and prevention in China from 2019 to 2023. Front public Heal. 2025;13:1553314.

34. Bao C, Liu H. A historical perspective of the development of public hospitals in China (1949–2024). Crit Public Health [Internet]. 2025;36(1). Available from: https://www.tandfonline.com/doi/pdf/10.1080/09581596.2025.2606502

35. Goey HW, Talim MB, Sukoco L. DESIGNING A PERFORMANCE-BASED INCENTIVE SYSTEM FOR SPECIALIST DOCTORS IN BPJS HEALTH SERVICES AT RS CAHYA KAWALUYAN. J Adm Bisnis [Internet]. 2024;20(1). Available from: https://journal.unpar.ac.id/index.php/JurnalAdministrasiBisnis/article/view/8813

36. Cahyaningrum N, Mustofa K, Elyan LD, Andriani R. Analysis of Human Resource Requirements After The Implementation of Electronic Medical Records at RSI Yarsis. J Ilm Rekam Medis dan Inform Kesehat [Internet]. 2026;16(1). Available from: https://ojs.udb.ac.id/infokes/article/view/5822

37. Liu F, Li J, Li X, Yang Z, Wang W, Zhao L, et al. Efficacy of telemedicine intervention in the self-management of patients with type 2 diabetes: a systematic review and meta-analysis. Front Public Heal. 2024;12(May):1–17.

38. Chen F, Liu Y, Wang X, Dong H. Transition shock, preceptor support and nursing competency among newly graduated registered nurses: A cross-sectional study. Nurse Educ Today. 2021;102:104891.

39. Yang YM, Wang T, Chan HY, Huang YM. Key Elements and Theoretical Foundations for the Design and Delivery of Text Messages to Boost Medication Adherence in Patients With Diabetes, Hypertension, and Hyperlipidemia: Scoping Review. J Med Internet Res. 2025 Jul;27:e71982.

40. Yusefi AR, Beigzadeh A, Kaya F. Resilience as a predictor of mental health among medical students: a cross-sectional study using PLS-SEM. BMC Med Educ [Internet]. 2025;25(1476):1–14. Available from: https://link.springer.com/article/10.1186/s12909-025-08063-0

41. Nurhayanti N, Fadillah Q, Pratama IH. Hubungan Aktivitas Fisik dengan Demensia pada Lansia di UPDT Lanjut Usia Binjai Dinas Sosial Provinsi Sumatera Utara Tahun 2024. Syntax Lit J Ilm Indones [Internet]. 2025;10(11):9805–15. Available from: https://jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/62493

Downloads

Published

2026-08-11

How to Cite

Incentive-Based Performance Evaluation Model for Healthcare Professionals in Hospitals: a Systematic Literature Review. (2026). Infokes: Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 16(2), 154-167. https://doi.org/10.47701/15d47q06