Pay for Performance in Health Care
Tóm tắt
Pay for performance (P4P) has become a popular approach to performance improvement in health care. Most of the P4P literature has focused on the United States and there is limited insight in the characteristics of major programs initiated in other countries. This article systematically describes and reviews P4P programs outside the United States. Our literature search identified 13 programs initiated in 9 countries. Although the programs share many similarities, they differ in several important respects, also when compared with the typical P4P program in the United States. In addition, there are clearly possibilities to increase incentive strength and minimize incentives for undesired behavior. In part, observed heterogeneity will be a consequence of contextual differences, but design choices often also seem to be made arbitrarily. In designing their programs, purchasers are hampered by limited knowledge of the influence of specific design choices and effective strategies to mitigate undesired behavior.
Từ khóa
Tài liệu tham khảo
Australian National Audit Office, 2010, Practice incentives program
Baker G., 2007, Pay for performance: National perspective. 2006 longitudinal survey results with 2007 market updates
Canadian Medical Association, 2010, Health care transformation in Canada. Change that works, care that lasts
Chang H. J., Paper presented at Academy Health Annual Research Meeting
Cheng T. M., Paper presented at Academy Health Annual Research Meeting
Clinical Practice Improvement Centre, 2008, Clinical practice improvement payment (CPIP): Implementation plan
Clinical Practice Improvement Centre, 2010, Clinical practice improvement payment: User guide V2.0, pilot scheme—phase two
Damberg C. L., 2007, An environmental scan of pay for performance in the hospital setting
Fachklinik Herzogenaurach, 2010, Qualitätsbericht rehabilitation [Quality report rehabilitation] 2009
Friedman N. L., 2003, Israel Medical Association Journal, 5, 3
Frohlich N., 2006, Profiling primary care physician practice in Manitoba
Gravelle H., 2008, Doctor behaviour under a pay for performance contract: Further evidence from the quality and outcomes framework
Guthrie B., 2006, British Journal of General Practice, 56, 836
The Health and Social Care Information Centre, 2009, General and Personal Medical Services in England: 1998-2008
Institute of Medicine, 2007, Rewarding provider performance. Aligning incentives in Medicare
Kahneman D., 1986, American Economic Review, 76, 728
Kantarevic J., 2010, Enhanced fee-for-service model and access to physician services: Evidence from family health groups in Ontario
Katz A., 2010, Physician integrated network baseline evaluation: Linking electronic medical records and administrative data
Kirschner K., 2008, Value for money: Een model voor honoreren van kwaliteit in de huisartsenpraktijk. project transparantie huisartsenzorg (fase 2)
Kirschner K., 2009, Pay-for-performance in de huisartsenpraktijk
Kuo R. N. C., 2011, American Journal of Managed Care, 17, e203
Ludwig Boltzmann Institut fur Health Technology Assessment, 2009, Schweregraddifferenzierung in der neurologischen und trauma-rehabilitation: Internationale erfahrungen zur qualitats-, performancemessung und vergütung
Lee T.-T., 2010, American Journal of Managed Care, 16, 65
Li J., 2010, Physician response to pay-for-performance—Evidence from a natural experiment
Manitoba Health, 2007, Physician integrated network: Evaluation plan
Manitoba Health, 2010, PIN information management guide version 1.5
Med-Vantage, 2009, 4th annual national P4P survey results
Mehrotra A., 2010, American Journal of Managed Care, 16, 497
NHS North West, 2008, A North West health system approach to advancing quality
Premier Inc, 2010, NHS Northwest and premier advancing quality program. Composite quality score and outcome methodologies year one
Price Waterhouse Coopers, 2001, Evaluation of primary care reform pilots in Ontario phase 2 interim report
Scholle S. H., 2008, American Journal of Managed Care, 14, 833
Sorbero M. E., 2006, Assessment of pay-for-performance options for Medicare physician services: Final report
Steel N., 2007, British Journal of General Practice, 57, 449
Walle E., 2009, ERGOV: Ergebnisorientierte Vergütung in der neurologischen Rehabilitation
Wilson R., Paper presented at the College of Family Physicians of Canada, Primary Care Forum