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https://www.readbyqxmd.com/read/27914316/does-the-proportion-of-pay-linked-to-performance-affect-the-job-satisfaction-of-general-practitioners
#1
Thomas Allen, William Whittaker, Matt Sutton
There is concern that pay-for-performance (P4P) can negatively affect general practitioners (GPs) by reducing their autonomy, increasing their wage dispersion or eroding their intrinsic motivation. This is especially a concern for the Quality and Outcomes Framework (QOF), a highly powered P4P scheme for UK GPs. The QOF affected all GPs but the exposure of their income to P4P varied. GPs did not know their level of exposure before the QOF was introduced and could not choose or manage it. We examine whether changes in GPs' job satisfaction before and after the introduction of the QOF in 2004 were correlated with the proportion of their income that became exposed to P4P...
November 24, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27905941/financing-strategies-to-improve-essential-public-health-equalization-and-its-effects-in-china
#2
Li Yang, Li Sun, Liankui Wen, Huyang Zhang, Chenyang Li, Kara Hanson, Hai Fang
BACKGROUND: In 2009, China launched a health reform to promote the equalization of national essential public health services package (NEPHSP). The present study aimed to describe the financing strategies and mechanisms to improve access to public health for all, identify the strengths and weaknesses of the different approaches, and showed evidence on equity improvement among different regions. METHODS: We reviewed the relevant literatures and identified 208 articles after screening and quality assessment and conducted six key informants' interviews...
December 1, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27903140/can-we-pay-for-performance-in-behavioral-health-care
#3
Rebecca E Stewart, Ishara Lareef, Trevor R Hadley, David S Mandell
Pay for performance (P4P) has become a popular strategy to reward quality and cost-efficiency in behavioral health care and other health care disciplines. This column presents the results of a literature review of P4P in behavioral health care. Fifteen empirical studies evaluating the outcomes of behavioral health services provided in a P4P system were identified. The limited data suggest that P4P can achieve its desired effect. More research is needed on outcomes, performance, and unintended consequences.
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27884185/the-inescapable-question-of-fairness-in-pay-for-performance-bonus-distribution-a-qualitative-study-of-health-workers-experiences-in-tanzania
#4
Victor Chimhutu, Nils Gunnar Songstad, Marit Tjomsland, Mwifadhi Mrisho, Karen Marie Moland
BACKGROUND: During the last decade there has been a growing concern about the lack of results in the health sectors of many low income countries. Progress has been particularly slow in maternal- and child health. Prompted by the need to accelerate progress towards these health outcomes, pay-for- performance (P4P) schemes have been initiated in a number of countries. This paper explores the perceptions and experiences of health workers with P4P bonus distribution in the health system context of rural Tanzania...
November 25, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27829858/pay-for-performance-remuneration-for-pharmacist-prescribers-management-of-hypertension-a-substudy-of-the-rxaction-trial
#5
Sherilyn K D Houle, Theresa L Charrois, Finlay A McAlister, Michael R Kolber, Meagen M Rosenthal, Richard Lewanczuk, Norman R C Campbell, Ross T Tsuyuki
BACKGROUND: To be sustainable, pharmacists providing direct patient care must receive appropriate payment for these services. This prespecified substudy of the RxACTION trial (a randomized trial of pharmacist prescribing vs usual care in patients with above-target blood pressure [BP]) aimed to determine if BP reduction achieved differed between patients whose pharmacist was paid by pay-for-performance (P4P) vs fee-for-service (FFS). METHODS: Within RxACTION, patients with elevated BP assigned to the pharmacist prescribing group were further randomized to P4P or FFS payment for the pharmacist...
November 2016: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/27780591/the-effectiveness-of-a-pay-for-performance-program-on-diabetes-care-in-taiwan-a-nationwide-population-based-longitudinal-study
#6
Tzu-Yu Lin, Chia-Yu Chen, Yu Tang Huang, Ming-Kuo Ting, Jui-Chu Huang, Kuang-Hung Hsu
Over the past two decades, studies have widely examined the effectiveness of pay-for-performance (P4P) programs by conducting biochemical tests and assessing complications; however, the reported effectiveness of such programs among participants selected through purposeful sampling is controversial. Therefore, the objective of the current study was to analyze the effectiveness of a P4P program on patients' prognoses, including hospitalization for chronic diabetic complications, and all-cause mortality during specific follow-up years by using a nationwide population-based database in Taiwan...
September 24, 2016: Health Policy
https://www.readbyqxmd.com/read/27745916/pay-for-performance-in-the-inpatient-sector-a-review-of-34-p4p-programs-in-14-oecd-countries
#7
Ricarda Milstein, Jonas Schreyoegg
Across the member countries of the Organisation for Economic Co-operation and Development (OECD), pay-for-performance (P4P) programs have been implemented in the inpatient sector to improve the quality of care provided by hospitals. This paper provides an overview of 34 existing P4P programs in the inpatient sector in 14 OECD countries based on a structured literature search in five databases to identify relevant sources in Danish, English, French, German, Hebrew, Italian, Japanese, Korean, Norwegian, Spanish, Swedish and Turkish...
September 20, 2016: Health Policy
https://www.readbyqxmd.com/read/27658387/is-the-distribution-of-care-quality-provided-under-pay-for-performance-equitable-evidence-from-the-advancing-quality-programme-in-england
#8
Thomas Mason, Yiu-Shing Lau, Matthew Sutton
BACKGROUND: The limited number of existing previous studies of the distribution of quality under NHS Pay-for-performance (P4P) by income deprivation have not analysed the relationship at the individual level and have been restricted to assessing P4P in the primary care setting. In this study, we set out to examine how achievement of P4P 'quality measures' for which NHS hospitals were paid was distributed by income deprivation. METHODS: Design: Retrospective analysis of performance data reported by hospitals, examining how the probability of receiving 23 indicators varied by patients' area deprivation using logistic regression controlling for age and gender...
2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27640342/the-effectiveness-of-payment-for-performance-in-health-care-a-meta-analysis-and-exploration-of-variation-in-outcomes
#9
Yewande Kofoworola Ogundeji, John Martin Bland, Trevor Andrew Sheldon
BACKGROUND: Pay for performance (P4P) incentive schemes are increasingly used world-wide to improve health system performance but results of evaluations vary considerably. A systematic analysis of this variation in the effects of P4P schemes is needed. METHODS: Evaluations of P4P schemes from any country were identified by searching for and updating systematic reviews of P4P schemes in health care in four bibliographic databases. Outcomes using different measures of effect were converted into standardized effect sizes and each study was categorized as to whether or not it found a positive effect...
September 5, 2016: Health Policy
https://www.readbyqxmd.com/read/27621156/effects-of-new-funding-models-for-patient-centered-medical-homes-on-primary-care-practice-finances-and-services-results-of-a-microsimulation-model
#10
Sanjay Basu, Russell S Phillips, Zirui Song, Bruce E Landon, Asaf Bitton
PURPOSE: We assess the financial implications for primary care practices of participating in patient-centered medical home (PCMH) funding initiatives. METHODS: We estimated practices' changes in net revenue under 3 PCMH funding initiatives: increased fee-for-service (FFS) payments, traditional FFS with additional per-member-per-month (PMPM) payments, or traditional FFS with PMPM and pay-for-performance (P4P) payments. Net revenue estimates were based on a validated microsimulation model utilizing national practice surveys...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27609303/differences-in-receipt-of-three-preventive-health-care-services-by-race-ethnicity-in-medicare-advantage-plans-tracking-the-impact-of-pay-for-performance-2010-and-2013
#11
Daniel H Jung, Mari Palta, Maureen Smith, Thomas R Oliver, Eva H DuGoff
INTRODUCTION: In 2012, the Centers for Medicare and Medicaid Services (CMS) introduced the Quality Bonus Payment Demonstration, a pay-for-performance (P4P) program, into Medicare Advantage plans. Previous studies documented racial/ethnic disparities in receipt of care among participants in these plans. The objective of this study was to determine whether P4P incentives have affected these disparities in Medicare Advantage plans. METHODS: We studied 411 Medicare Advantage health plans that participated in the Medicare Health Outcome Survey in 2010 and 2013...
September 8, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/27547944/disease-specific-pay-for-performance-programs-do-the-p4p-effects-differ-between-diabetic-patients-with-and-without-multiple-chronic-conditions
#12
Yu-Chin Huang, Miaw-Chwen Lee, Yiing-Jenq Chou, Nicole Huang
BACKGROUND: Several studies have investigated the effects of pay-for-performance (P4P) initiatives. However, little is known about whether patients with multiple chronic conditions (MCC) would benefit from P4P initiatives similarly to patients without MCC. OBJECTIVES: The objective of this study was to compare the effects of the diabetes mellitus pay-for-performance (DM-P4P) program on the quality of diabetic care between type 2 diabetic patients with and without MCC...
November 2016: Medical Care
https://www.readbyqxmd.com/read/27517172/does-pay-for-performance-program-increase-providers-adherence-to-guidelines-for-managing-hepatitis-b-and-hepatitis-c-virus-infection-in-taiwan
#13
Huei-Ju Chen, Nicole Huang, Long-Sheng Chen, Yiing-Jenq Chou, Chung-Pin Li, Chen-Yi Wu, Yu-Chia Chang
BACKGROUND: Many people are concerned about that the quality of preventive care for patients with hepatitis B virus (HBV) and hepatitis C virus (HCV) infection is suboptimal. Taiwan, a hyperendemic area of chronic HBV and HCV infection, implemented a nationwide pay-for-performance (P4P) program in 2010, which aimed to improve the preventive care provided to HBV and HCV patients by increasing physicians' adherence to guidelines through financial incentives. The objective of this study was to evaluate the early effects of the P4P program on utilization of preventive services by HBV and HCV patients...
2016: PloS One
https://www.readbyqxmd.com/read/27496190/pay-for-performance-of-estonian-family-doctors-and-impact-of-different-practice-and-patient-related-characteristics-on-a-good-outcome-a-quantitative-assessment
#14
Eero Merilind, Rauno Salupere, Katrin Västra, Ruth Kalda
BACKGROUND AND OBJECTIVE: Several practice- and patient-related characteristics are reported to have an influence on a good quality outcome. Estonia started the pay-for-performance (P4P) system for family doctors (FDs) in 2006. Every year the number of FDs participating in P4P has increased, but only half of the FDs achieved good outcome. The aim of this study was to find out which practice- and patient-related characteristics could have an impact on a good outcome. MATERIALS AND METHODS: The study was conducted using the database from the Estonian Health Insurance Fund...
2016: Medicina
https://www.readbyqxmd.com/read/27479599/effectiveness-of-pay-for-performance-incentive-designs-on-diabetes-care
#15
Hui-Min Hsieh, Shyi-Jang Shin, Shu-Ling Tsai, Herng-Chia Chiu
BACKGROUND: Taiwan's National Health Insurance program implemented a pay-for-performance (P4P) program based on process measures in 2001. In late 2006, the P4P was revised to also include achievement of outcome measures. OBJECTIVES: This study examined whether a change in P4P incentive design structure affected diabetes outcomes. RESEARCH DESIGN AND METHOD: We used a longitudinal cohort study design using 2 population-based databases. Newly enrolled P4P patients with diabetes in 2002-2003 (phase 1) and 2007-2008 (phase 2) made up the study cohorts...
July 29, 2016: Medical Care
https://www.readbyqxmd.com/read/27436339/health-system-changes-under-pay-for-performance-the-effects-of-rwanda-s-national-programme-on-facility-inputs
#16
Diana Kl Ngo, Tisamarie B Sherry, Sebastian Bauhoff
Pay-for-performance (P4P) programmes have been introduced in numerous developing countries with the goal of increasing the provision and quality of health services through financial incentives. Despite the popularity of P4P, there is limited evidence on how providers achieve performance gains and how P4P affects health system quality by changing structural inputs. We explore these two questions in the context of Rwanda's 2006 national P4P programme by examining the programme's impact on structural quality measures drawn from international and national guidelines...
July 19, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27399144/impact-of-pay-for-performance-on-mortality-in-diabetes-patients-in-taiwan-a-population-based-study
#17
Yu-Ching Chen, Charles Tzu-Chi Lee, Boniface J Lin, Yong-Yuan Chang, Hon-Yi Shi
BACKGROUND: The impact of pay-for-performance (P4P) programs on long-term mortality for chronic illnesses, especially diabetes mellitus, has been rarely reported. Several studies described the favorable impact of P4P for diabetes mellitus on medical utilizations or intermediate outcomes. Therefore, this study aimed to investigate the impact of a P4P program on mortality in patients with type 2 diabetes. METHODS: The P4P group in this population-based cohort study was 2090 individuals with a primary diagnosis of type 2 diabetes who had been newly enrolled in the P4P program of Taiwan between January 1, 2004 and December 31, 2004...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27329654/impact-assessment-of-a-pay-for-performance-program-on-breast-cancer-screening-in-france-using-micro-data
#18
Jonathan Sicsic, Carine Franc
BACKGROUND: A voluntary-based pay-for-performance (P4P) program (the CAPI) aimed at general practitioners (GPs) was implemented in France in 2009. The program targeted prevention practices, including breast cancer screening, by offering a maximal amount of €245 for achieving a target screening rate among eligible women enrolled with the GP. OBJECTIVE: Our objective was to evaluate the impact of the French P4P program (CAPI) on the early detection of breast cancer among women between 50 and 74 years old...
June 21, 2016: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/27244859/strategies-for-improving-vaccine-delivery-a-cluster-randomized-trial
#19
Linda Y Fu, Kathleen Zook, Janet A Gingold, Catherine W Gillespie, Christine Briccetti, Denice Cora-Bramble, Jill G Joseph, Rachel Haimowitz, Rachel Y Moon
OBJECTIVE: New emphasis on and requirements for demonstrating health care quality have increased the need for evidence-based methods to disseminate practice guidelines. With regard to impact on pediatric immunization coverage, we aimed to compare a financial incentive program (pay-for-performance [P4P]) and a virtual quality improvement technical support (QITS) learning collaborative. METHODS: This single-blinded (to outcomes assessor), cluster-randomized trial was conducted among unaffiliated pediatric practices across the United States from June 2013 to June 2014...
June 2016: Pediatrics
https://www.readbyqxmd.com/read/27240436/incentives-in-rheumatology-the-potential-contribution-of-physician-responses-to-financial-incentives-public-reporting-and-treatment-guidelines-to-health-care-sustainability
#20
REVIEW
Mark Harrison, Katherine Milbers, Tamara Mihic, Aslam H Anis
Concerns about the sustainability of current health care expenditure are focusing attention on the cost, quality and value of health care provision. Financial incentives, for example pay-for-performance (P4P), seek to reward quality and value in health care provision. There has long been an expectation that P4P schemes are coming to rheumatology. We review the available evidence about the use of incentives in this setting and provide two emerging examples of P4P schemes which may shape the future of service provision in rheumatology...
July 2016: Current Rheumatology Reports
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