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https://www.readbyqxmd.com/read/29606288/the-impact-of-pay-for-performance-on-the-quality-of-care-in-ophthalmology-empirical-evidence-from-germany
#1
T Herbst, J Foerster, M Emmert
BACKGROUND: Pay-for-performance (P4P) has become a popular approach to increase effectiveness and efficiency in healthcare. So far, there is little evidence regarding the potential of P4P in the German healthcare setting. The aim of this study was to determine the impact of P4P on the quality of care in cataract surgery. METHODS: In 2012, a P4P program was implemented in a German surgical centre for ophthalmology. Five quality measures regarding process quality, outcomes, and patient satisfaction were measured over a period of 4...
March 22, 2018: Health Policy
https://www.readbyqxmd.com/read/29594189/incentive-design-and-quality-improvements-evidence-from-state-medicaid-nursing-home-pay-for-performance-programs
#2
R Tamara Konetzka, Meghan M Skira, Rachel M Werner
Pay-for-performance (P4P) programs have become a popular policy tool aimed at improving health care quality. We analyze how incentive design affects quality improvements in the nursing home setting, where several state Medicaid agencies have implemented P4P programs that vary in incentive structure. Using the Minimum Data Set and the Online Survey, Certification, and Reporting data from 2001 to 2009, we examine how the weights put on various performance measures that are tied to P4P bonuses, such as clinical outcomes, inspection deficiencies, and staffing levels, affect improvements in those measures...
2018: American Journal of Health Economics
https://www.readbyqxmd.com/read/29526260/pay-for-performance-incentive-program-in-a-large-dental-group-practice
#3
Douglas A Conrad, Peter Milgrom, R Mike Shirtcliff, Howard L Bailit, Sharity Ludwig, Jeanne Dysert, Gary Allen, Joana Cunha-Cruz
BACKGROUND: Dentists increasingly are employed in large group practices that use financial incentive systems to influence provider performance. The authors describe the design and initial implementation of a pay-for-performance (P4P) incentive program for a large capitated Oregon group dental practice that cares primarily for patients receiving Medicaid. The authors do not assess the effectiveness of the incentive system on provider and staff member performance. METHODS: The data come from use of care files and integrated electronic health records, provider and staff member surveys, and interviews and community surveys from 6 counties...
March 8, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29469212/administrative-reform-and-pay-for-performance-methods-of-primary-health-service-delivery-a-comparison-of-3-health-districts-in-cambodia-2006-2012
#4
Keovathanak Khim, Rohan Jayasuriya, Peter Leslie Annear
Since 1999, performance-based financing or pay-for-performance (P4P) methods have been piloted in the Cambodian public health sector, first as one part of external contracting approaches with international nongovernment organizations and from 2009 as a part of internal contracting arrangements between units within the Ministry of Health under a wider public sector administrative reform. This study analyses these reforms and compares outcomes in 3 health districts. The study analysed routine quantitative data for primary care service delivery by using the interrupted time series method...
February 22, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29380905/insights-on-the-effectiveness-of-reward-schemes-from-10-year-longitudinal-case-studies-in-2-italian-regions
#5
Milena Vainieri, Daniel Adrian Lungu, Sabina Nuti
BACKGROUND: Pay for performance (P4P) programs have been widely analysed in literature, and the results regarding their impact on performance are mixed. Moreover, in the real-life setting, reward schemes are designed combining multiple elements altogether, yet, it is not clear what happens when they are applied using different combinations. OBJECTIVES: To provide insights on how P4P programs are influenced by 5 key elements: whom, what, how, how many targets, and how much to reward...
January 30, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29378658/who-benefits-from-increased-service-utilisation-examining-the-distributional-effects-of-payment-for-performance-in-tanzania
#6
Peter Binyaruka, Bjarne Robberstad, Gaute Torsvik, Josephine Borghi
BACKGROUND: Payment for performance (P4P) strategies, which provide financial incentives to health workers and/or facilities for reaching pre-defined performance targets, can improve healthcare utilisation and quality. P4P may also reduce inequalities in healthcare use and access by enhancing universal access to care, for example, through reducing the financial barriers to accessing care. However, P4P may also enhance inequalities in healthcare if providers cherry-pick the easier-to-reach patients to meet their performance targets...
January 29, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29302881/could-pay-for-performance-worsen-health-disparities
#7
Mubeen Shakir, Katrina Armstrong, Jason H Wasfy
Pay-for-performance (P4P) has become a prominent component of health care funding in the Affordable Care Act (ACA) era. Although the ACA's future remains unclear, these programs receive bipartisan support and will likely continue to be a part of payment policies. At the same time, racial and class disparities remain among the most pressing of the many challenges facing the US health system. We review evidence of the effects of P4P on disparities at the population and individual levels. Providers caring for predominantly minority patients or those with lower socioeconomic status are known to have poorer quality metrics...
April 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29229101/the-prevalence-of-copd-in-england-an-ontological-approach-to-case-detection-in-primary-care
#8
L Rayner, J Sherlock, B Creagh-Brown, J Williams, S deLusignan
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a significant cause of morbidity and mortality in England, however estimates of its prevalence vary considerably. Routinely collected and coded primary care data can be used to monitor disease prevalence, however reliance upon diagnostic codes alone is likely to miss cases. METHODS: We devised an ontological approach to COPD case detection and implemented it in a large primary care database to identify definite and probable cases of COPD...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29029075/improving-health-systems-performance-in-low-and-middle-income-countries-a-system-dynamics-model-of-the-pay-for-performance-initiative-in-afghanistan
#9
O Alonge, S Lin, T Igusa, D H Peters
System dynamics methods were used to explore effective implementation pathways for improving health systems performance through pay-for-performance (P4P) schemes. A causal loop diagram was developed to delineate primary causal relationships for service delivery within primary health facilities. A quantitative stock-and-flow model was developed next. The stock-and-flow model was then used to simulate the impact of various P4P implementation scenarios on quality and volume of services. Data from the Afghanistan national facility survey in 2012 was used to calibrate the model...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29024997/evaluation-of-the-effects-of-the-french-pay-for-performance-program-ifaq-pilot-study
#10
Benoît Lalloué, Shu Jiang, Anne Girault, Marie Ferrua, Philippe Loirat, Etienne Minvielle
Objective: Most studies showed no or little effect of pay-for-performance (P4P) programs on different outcomes. In France, the P4P program IFAQ was generalized to all acute care hospitals in 2016. A pilot study was launched in 2012 to design, implement and assess this program. This article aims to assess the immediate impact of the 2012-14 pilot study. Design and setting: From nine process quality indicators (QIs), an aggregated score was constructed as the weighted average, taking into account both achievement and improvement...
August 30, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29020377/the-effect-of-a-hepatitis-pay-for-performance-program-on-outcomes-of-patients-undergoing-antiviral-therapy
#11
Tsung-Tai Chen, Ya-Seng Arthur Hsueh, Chun-Hsiung Ko, Ling-Na Shih, Sien-Sing Yang
Background: To examine the effect of a participatory pay-for-performance (P4P) program in Taiwan on health outcomes for patients with severe hepatitis B or C. Methods: This study adopted 4-year panel data from the databases of the National Health Insurance Administration (NHIA) in Taiwan. Using the caliper matching method to match patients in the P4P (experimental) group with those in the potential comparison group on a one-to-one basis for the year 2010, we tracked patients up to the year 2013 and employed Cox proportional-hazards regression models to evaluate the effect on patient outcomes...
December 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28981404/a-diabetes-pay-for-performance-program-and-risks-of-cancer-incidence-and-death-in-patients-with-type-2-diabetes-in-taiwan
#12
Hui-Min Hsieh, Jiun-Shiuan He, Shyi-Jang Shin, Herng-Chia Chiu, Charles Tzu-Chi Lee
INTRODUCTION: We sought to evaluate the effects of diabetes disease management through a diabetes pay-for-performance (P4P) program in Taiwan on risks of incident cancer and mortality among patients with type 2 diabetes. METHODS: We conducted a longitudinal observational cohort study using 3 population-based databases in Taiwan. Using propensity score matching, we compared patients with type 2 diabetes who enrolled in a P4P program with a similar group of patients who did not enroll in the in P4P program (non-P4P)...
October 5, 2017: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28838794/-pay-for-performance-in-dental-care-a-systematic-narrative-review-of-quality-p4p-models-in-dental-care
#13
Regine Chenot
BACKGROUND: Pay for performance (P4P) links reimbursement to the achievement of quality objectives. Experiences with P4P instruments and studies on their effects are available for the inpatient sector. A systematic narrative review brings together findings concerning the use and the effects of P4P, especially in dental care. METHODS: A systematic literature search in PubMed and the Cochrane Library for reimbursement models using quality indicators provided 77 publications...
November 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28685902/can-pay-for-performance-to-primary-care-providers-stimulate-appropriate-use-of-antibiotics
#14
Lina Maria Ellegård, Jens Dietrichson, Anders Anell
Antibiotic resistance is a major threat to public health worldwide. As the healthcare sector's use of antibiotics is an important contributor to the development of resistance, it is crucial that physicians only prescribe antibiotics when needed and that they choose narrow-spectrum antibiotics, which act on fewer bacteria types, when possible. Inappropriate use of antibiotics is nonetheless widespread, not least for respiratory tract infections (RTI), a common reason for antibiotics prescriptions. We examine if pay-for-performance (P4P) presents a way to influence primary care physicians' choice of antibiotics...
January 2018: Health Economics
https://www.readbyqxmd.com/read/28685850/return-on-investment-roi-analyses-of-an-inpatient-lay-health-worker-model-on-30-day-readmission-rates-in-a-rural-community-hospital
#15
Roberto Cardarelli, Gregory Bausch, Joan Murdock, Michelle Renee Chyatte
PURPOSE: The purpose of the study was to assess the return-on-investment (ROI) of an inpatient lay health worker (LHW) model in a rural Appalachian community hospital impacting 30-day readmission rates. METHODS: The Bridges to Home (BTH) study completed an evaluation in 2015 of an inpatient LHW model in a rural Kentucky hospital that demonstrated a reduction in 30-day readmission rates by 47.7% compared to a baseline period. Using the hospital's utilization and financial data, a validated ROI calculator specific to care transition programs was used to assess the ROI of the BTH model comparing 3 types of payment models including Diagnosis Related Group (DRG)-only payments, pay-for-performance (P4P) contracts, and accountable care organizations (ACOs)...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28583141/characterization-and-effectiveness-of-pay-for-performance-in-ophthalmology-a-systematic-review
#16
REVIEW
Tim Herbst, Martin Emmert
BACKGROUND: To identify, characterize and compare existing pay-for-performance approaches and their impact on the quality of care and efficiency in ophthalmology. METHODS: A systematic evidence-based review was conducted. English, French and German written literature published between 2000 and 2015 were searched in the following databases: Medline (via PubMed), NCBI web site, Scopus, Web of Knowledge, Econlit and the Cochrane Library. Empirical as well as descriptive articles were included...
June 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28531317/a-diabetes-pay-for-performance-program-and-the-competing-causes-of-death-among-cancer-survivors-with-type-2-diabetes-in-taiwan
#17
Hui-Min Hsieh, Herng-Chia Chiu, Yi-Ting Lin, Shyi-Jang Shin
Objective: To examine associations between a diabetes pay-for-performance (P4P) program in Taiwan and all-cause of mortality and competing causes of death in cancer survivors with type 2 diabetes. Design: A longitudinal observational intervention and comparison group study design. Setting and participants: Cancer survivors with type 2 diabetes who enrolled in the P4P program compared with survivors who did not participate (non-P4P) under the Taiwan National Health Insurance program...
August 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28486670/economic-evaluation-of-a-pre-esrd-pay-for-performance-programme-in-advanced-chronic-kidney-disease-patients
#18
Hui-Min Hsieh, Ming-Yen Lin, Yi-Wen Chiu, Ping-Hsun Wu, Li-Jeng Cheng, Feng-Shiuan Jian, Chih-Cheng Hsu, Shang-Jyh Hwang
Background: The National Health Insurance Administration in Taiwan initiated a nationwide pre-end-stage renal disease (ESRD) pay-for-performance (P4P) programme at the end of 2006 to improve quality of care for chronic kidney disease (CKD) patients. This study aimed to examine this programme's effect on patients' clinical outcomes and its cost-effectiveness among advanced CKD patients. Methods: We conducted a longitudinal observational matched cohort study using two nationwide population-based datasets...
July 1, 2017: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/28482090/p4p-a-peptidome-based-strain-level-genome-comparison-web-tool
#19
Aitor Blanco-Míguez, Florentino Fdez-Riverola, Anália Lourenço, Borja Sánchez
Peptidome similarity analysis enables researchers to gain insights into differential peptide profiles, providing a robust tool to discriminate strain-specific peptides, true intra-species differences among biological replicates or even microorganism-phenotype variations. However, no in silico peptide fingerprinting software existed to facilitate such phylogeny inference. Hence, we developed the Peptidomes for Phylogenies (P4P) web tool, which enables the survey of similarities between microbial proteomes and simplifies the process of obtaining new biological insights into their phylogeny...
July 3, 2017: Nucleic Acids Research
https://www.readbyqxmd.com/read/28322095/therapeutic-inertia-and-intensified-treatment-in-diabetes-mellitus-prescription-patterns-a-nationwide-population-based-study-in-taiwan
#20
Li-Ying Huang, Hseng-Long Yeh, Ming-Chin Yang, Wen-Yi Shau, Syi Su, Mei-Shu Lai
Objective To measure therapeutic inertia by characterizing prescription patterns using secondary data obtained from the nationwide diabetes mellitus pay-for-performance (DM-P4P) programme in Taiwan. Methods Using reimbursement claims from Taiwan's National Health Insurance Research Database, a nationwide retrospective cohort study was undertaken of patients with diabetes mellitus who participated in the DM-P4P programme from 2006-2008. Glycosylated haemoglobin results were used to evaluate modifications in therapy in response to poor diabetes control...
December 2016: Journal of International Medical Research
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