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Understanding the intervention and implementation factors associated with benefits and harms of pay for performance programs in healthcare / principal investigator, Karli Kondo ; contributing investigators, Cheryl Damberg, Aaron Mendelson, Makalapua Motu'apuaka, Michele Freeman, Maya O'Neil, Rose Relevo, Devan Kansagara.
- Format:
- Book
- Government document
- Author/Creator:
- Kondo, Karli, author.
- Series:
- Evidence-based synthesis program (Series)
- Evidence-based synthesis program
- Language:
- English
- Subjects (All):
- Merit pay--United States.
- Merit pay.
- Medical care--United States.
- Medical care.
- Outcome assessment (Medical care).
- Medical care--Quality control.
- Physician Incentive Plans.
- Outcome Assessment, Health Care.
- Quality Assurance, Health Care.
- Reimbursement, Incentive.
- Treatment Outcome.
- Outcome and Process Assessment, Health Care.
- United States.
- Medical Subjects:
- Physician Incentive Plans.
- Outcome Assessment, Health Care.
- Quality Assurance, Health Care.
- Reimbursement, Incentive.
- Treatment Outcome.
- Outcome and Process Assessment, Health Care.
- Physical Description:
- 1 online resource (vi, 153 pages) : illustrations.
- Place of Publication:
- Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, May 2015.
- Summary:
- Over the last decade, pay for performance (P4P) programs have been implemented in a variety of health systems, including the VHA, as a means to improve the efficiency and quality of health care. There has been a parallel increase in the number of studies examining the effects of P4P. A number of recent reviews have summarized this literature, but have generally found insufficient evidence to broadly characterize the balance of harms and benefits. However, financial incentives programs are complex interventions whose effects may depend in part on the settings in which they are implemented, the methods used for implementation, the populations targeted, and the characteristics of the incentive programs themselves. The objectives of this report are to summarize the positive and negative effects of P4P on process and health outcomes, and to examine how implementation characteristics modify the effects of P4P programs. The Key Questions used to guide our report are: Key Question 1: What are the effects of pay for performance programs on patient outcomes and processes of care? Key Question 2: What implementation factors modify the effectiveness of pay for performance? Key Question 3: What are the positive and negative unintended consequences, including any effect on health disparities, associated with pay for performance?
- Notes:
- "May 2015."
- Includes bibliographical references.
- Description based on online resource; title from PDF cover (VA, viewed March 18, 2021).
- OCLC:
- 947741165
- Access Restriction:
- Access restricted to subscribing institutions.
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