The impact of pay-for-performance on health care quality in Massachusetts, 2001-2003

被引：52

作者：

Pearson, Steven D. ^{[1
]}

Schneider, Eric C. ^{[2
]}

Kleinman, Ken P. ^{[3
]}

Coltin, Kathryn L. ^{[4
]}

Singer, Janice A. ^{[5
]}

机构：

[1] Massachusetts Gen Hosp, Inst Clin & Econ Review, Boston, MA 02114 USA

[2] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA

[3] Harvard Univ, Sch Med, Cambridge, MA 02138 USA

[4] Harvard Pilgrim Hlth Care, External Qual Data Initiat, Wellesley, MA 02481 USA

[5] Massachusetts Hlth Qual Partners, Watertown, MA USA

来源：

HEALTH AFFAIRS | 2008年 / 27卷 / 04期

关键词：

D O I：

10.1377/hlthaff.27.4.1167

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Pay-for-performance (P4P) has become one of the dominant approaches to improving quality of care, yet few studies have evaluated its effectiveness. We evaluated the impact on quality of all P4P programs introduced into physician group contracts during 2001-2003 by the five major commercial health plans operating in Massachusetts. Overall, P4P contracts were not associated with greater improvement in quality compared to a rising secular trend. Future research is required to determine whether changes to the magnitude, structure, or alignment of P4P incentives can lead to improved quality.

引用

页码：1167 / 1176

页数：10

共 17 条

[1]

[Anonymous], 2006, REW PROV PERF AL INC

[2] Pay-for-performance programs in family practices in the United Kingdom [J].

Doran, Tim ;

Fullwood, Catherine ;

Gravelle, Hugh ;

Reeves, David ;

Kontopantelis, Evangelos ;

Hiroeh, Urara ;

Roland, Martin .

NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (04) :375-384

[3] Pay-for-performance research - How to learn what clinicians and policy makers need to know [J].

Dudley, RA .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (14) :1821-1823

[4] Paying physicians for high-quality care [J].

Epstein, AM ;

Lee, TH ;

Hamel, MB .

NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (04) :406-410

[5] Paying for performance in the United States and abroad [J].

Epstein, Arnold M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (04) :406-408

[6]

Fong M, 2004, BUS COMMUN REV, V34, P12

[7] Does affiliation of physician groups with one another produce higher quality primary care? [J].

Friedberg, Mark W. ;

Coltin, Kathryn L. ;

Pearson, Steven D. ;

Kleinman, Ken P. ;

Zheng, Jie ;

Singer, Janice A. ;

Schneider, Eric C. .

JOURNAL OF GENERAL INTERNAL MEDICINE, 2007, 22 (10) :1385-1392

[8] Linking compensation to quality - Medicare payments to physicians [J].

Iglehart, JK .

NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (09) :870-872

[9] Quality-based payment: six case examples [J].

McNamara, P .

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2005, 17 (04) :357-362

[10]

Mehrotra A, 2007, AM J MANAG CARE, V13, P249

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