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https://www.readbyqxmd.com/read/28148305/understanding-causal-pathways-within-health-systems-policy-evaluation-through-mediation-analysis-an-application-to-payment-for-performance-p4p-in-tanzania
#1
Laura Anselmi, Peter Binyaruka, Josephine Borghi
BACKGROUND: The evaluation of payment for performance (P4P) programmes has focused mainly on understanding contributions to health service coverage, without unpacking causal mechanisms. The overall aim of the paper is to test the causal pathways through which P4P schemes may (or may not) influence maternal care outcomes. METHODS: We used data from an evaluation of a P4P programme in Tanzania. Data were collected from a sample of 3000 women who delivered in the 12 months prior to interview and 200 health workers at 150 health facilities from seven intervention and four comparison districts in Tanzania in January 2012 and in February 2013...
February 2, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28114600/the-effects-of-pay-for-performance-programs-on-health-health-care-use-and-processes-of-care-a-systematic-review
#2
Aaron Mendelson, Karli Kondo, Cheryl Damberg, Allison Low, Makalapua Motu'apuaka, Michele Freeman, Maya O'Neil, Rose Relevo, Devan Kansagara
Background: The benefits of pay-for-performance (P4P) programs are uncertain. Purpose: To update and expand a prior review examining the effects of P4P programs targeted at the physician, group, managerial, or institutional level on process-of-care and patient outcomes in ambulatory and inpatient settings. Data Sources: PubMed from June 2007 to October 2016; MEDLINE, PsycINFO, CINAHL, Business Economics and Theory, Business Source Elite, Scopus, Faculty of 1000, and Gartner Research from June 2007 to February 2016...
January 10, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28110265/comparative-effectiveness-of-two-disparate-policies-on-child-health-experimental-evidence-from-the-philippines
#3
John W Peabody, Stella Quimbo, Jhiedon Florentino, Riti Shimkhada, Xylee Javier, David Paculdo, Dean Jamison, Orville Solon
BACKGROUND  : Should health systems invest more in access to care by expanding insurance coverage or in health care services including improving the quality of care? Comparing these options experimentally would shed light on the impact and cost-effectiveness of these strategies. METHODS  : The Quality Improvement Demonstration Study (QIDS) was a randomized policy experiment conducted across 30 districts in the Philippines. The study had a control group and two policy intervention groups intended to improve the health of young children...
January 20, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28097711/pharmacists-perceptions-of-pay-for-performance-versus-fee-for-service-remuneration-for-the-management-of-hypertension-through-pharmacist-prescribing
#4
Meagen M Rosenthal, Nimisha Desai, Sherilyn K D Houle
OBJECTIVES: As pharmacists expand their roles as patient care providers, remuneration must be offered for patient care activities apart from dispensing. Most jurisdictions paying for such services utilize the fee-for-service (FFS) model, while little is known about the role of pay for performance (P4P) within the pharmacy profession. This study aimed to elicit the experience of pharmacists practicing under both models within the Alberta Clinical Trial in Optimizing Hypertension (RxACTION) study in Alberta, Canada...
January 18, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28005224/effect-of-pay-for-performance-on-cervical-cancer-screening-participation-in-france
#5
Panayotis Constantinou, Jonathan Sicsic, Carine Franc
Pay-for-performance (P4P) has been increasingly used across different healthcare settings to incentivize the provision of targeted services. In this study, we investigated the effect of a nationwide P4P scheme for general practitioners implemented in 2012 in France, on cervical cancer screening practices. Using data from a nationally representative permanent sample of health insurance beneficiaries, we analyzed smear test use of eligible women for the years 2006-2014. Our longitudinal sample was an unbalanced panel comprising 180,167 women eligible from 1 to 9 years each...
December 22, 2016: Int J Health Econ Manag
https://www.readbyqxmd.com/read/27928874/improving-quality-of-care-through-payment-for-performance-examining-effects-on-the-availability-and-stock-out-of-essential-medical-commodities-in-tanzania
#6
Peter Binyaruka, Josephine Borghi
OBJECTIVE: To evaluate the effects of payment for performance (P4P) on the availability and stock-out rate of reproductive, maternal, newborn and child health (RMNCH) medical commodities in Tanzania and assess the distributional effects. METHODS: The availability of RMNCH commodities (medicines, supplies and equipment) on the day of the survey, and stock-outs for at least one day in the 90 days prior to the survey, was measured in 75 intervention and 75 comparison facilities in January 2012 and 13 months later...
January 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27914316/does-the-proportion-of-pay-linked-to-performance-affect-the-job-satisfaction-of-general-practitioners
#7
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...
January 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/27905941/financing-strategies-to-improve-essential-public-health-equalization-and-its-effects-in-china
#8
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
#9
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.
February 1, 2017: 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
#10
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
#11
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
#12
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...
November 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
#13
REVIEW
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...
October 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
#14
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...
September 23, 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
#15
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 (standardized mean difference, SMD) and each study was categorized as to whether or not it found a positive effect...
October 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
#16
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
#17
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
#18
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
#19
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
#20
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
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