scholarly journals Association of practice size and pay-for-performance incentives with the quality of diabetes management in primary care

2011 ◽  
Vol 183 (12) ◽  
pp. E809-E816 ◽  
Author(s):  
E. P. Vamos ◽  
U. J. Pape ◽  
A. Bottle ◽  
F. L. Hamilton ◽  
V. Curcin ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetes Management ◽  
Pay For Performance ◽  
Performance Incentives ◽  
Practice Size

Quality of Primary Care in England with the Introduction of Pay for Performance

2007 ◽  
Vol 357 (2) ◽  
pp. 181-190 ◽  
Author(s):  
Stephen Campbell ◽  
David Reeves ◽  
Evangelos Kontopantelis ◽  
Elizabeth Middleton ◽  
Bonnie Sibbald ◽  
...  
Keyword(s):  
Primary Care ◽  
Pay For Performance ◽  
Quality Of Primary Care

scholarly journals Quality-Based Payment for Medical Groups and Individual Physicians

2009 ◽  
Vol 46 (2) ◽  
pp. 172-181 ◽  
Author(s):  
James C. Robinson ◽  
Stephen M. Shortell ◽  
Diane R. Rittenhouse ◽  
Sara Fernandes-Taylor ◽  
Robin R. Gillies ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Physicians ◽  
Pay For Performance ◽  
Fee For Service ◽  
Performance Incentives ◽  
Payment Incentives ◽  
Medical Groups ◽  
Bonus Payments ◽  
Service Basis

This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar criteria. Over half (52%) of large medical groups received bonus payments from health insurance plans in the period 2006–2007 based on measures of quality and patient satisfaction. Medical groups facing external pay-for-performance incentives are more likely to pay their primary care physicians (odds ratio [OR] 4.5; p<.001) and specialists (OR 2.5; p=.07) based on quality and satisfaction. Groups facing capitation payment incentives to control costs are more likely to pay member physicians on salary and less likely to pay based on productivity (p<.001 for primary care; p<.05 for specialists) than groups paid by insurers on a fee-for-service basis.

scholarly journals Association between a national primary care pay-for-performance scheme and suicide rates in England: spatial cohort study

2018 ◽  
Vol 213 (4) ◽  
pp. 600-608
Author(s):  
Christos Grigoroglou ◽  
Luke Munford ◽  
Roger T. Webb ◽  
Nav Kapur ◽  
Tim Doran ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Quality Of Care ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Pay For Performance ◽  
Social Fragmentation ◽  
Practice Performance ◽  
The Relationship

BackgroundPay-for-performance policies aim to improve population health by incentivising improvements in quality of care.AimsTo assess the relationship between general practice performance on severe mental illness (SMI) and depression indicators under a national incentivisation scheme and suicide risk in England for the period 2006–2014.MethodLongitudinal spatial analysis for 32 844 small-area geographical units (lower super output areas, LSOAs), using population-structure adjusted numbers of suicide as the outcome variable. Negative binomial models were fitted to investigate the relationship between spatially estimated recorded quality of care and suicide risk at the LSOA level. Incidence rate ratios (IRRs) were adjusted for deprivation, social fragmentation, prevalence of depression and SMI as well as other 2011 Census variables.ResultsNo association was found between practice performance on the mental health indicators and suicide incidence in practice localities (IRR=1.000, 95% CI 0.998–1.002). IRRs indicated elevated suicide risks linked with area-level social fragmentation (1.030; 95% CI 1.027–1.034), deprivation (1.013, 95% CI 1.012–1.014) and rurality (1.059, 95% CI 1.027–1.092).ConclusionsPrimary care has an important role to play in suicide prevention, but we did not observe a link between practices' higher reported quality of care on incentivised mental health activities and lower suicide rates in the local population. It is likely that effective suicide prevention needs a more concerted, multiagency approach. Better training in suicide prevention for general practitioners is also essential. These findings pertain to the UK but have relevance to other countries considering similar programmes.Declaration of interestNone.

scholarly journals Effects of Pay for Performance on the Quality of Primary Care in England

2009 ◽  
Vol 361 (4) ◽  
pp. 368-378 ◽  
Author(s):  
Stephen M. Campbell ◽  
David Reeves ◽  
Evangelos Kontopantelis ◽  
Bonnie Sibbald ◽  
Martin Roland
Keyword(s):  
Primary Care ◽  
Pay For Performance ◽  
Quality Of Primary Care
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