Lessons From Healthcare Providers’ Attitudes Toward Pay-for-performance: What Should Purchasers Consider in Designing and Implementing a Successful Program?
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We conducted a systematic review to summarize providers’ attitudes toward pay-for-performance (P4P), focusing on their general attitudes, the effects of P4P, their favorable design and implementation methods, and concerns. An electronic search was performed in PubMed and Scopus using selected keywords including P4P. Two reviewers screened target articles using titles and abstract review and then read the full version of the screened articles for the final selections. In addition, one reference of screened articles and one unpublished report were also included. Therefore, 14 articles were included in this study. Healthcare providers’ attitudes on P4P were summarized in two ways. First, we gathered their general attitudes and opinions regarding the effects of P4P. Second, we rearranged their opinions regarding desirable P4P design and implementation methods, as well as their concerns. This study showed the possibility that some healthcare providers still have a low level of awareness about P4P and might prefer voluntary participation in P4P. In addition, they felt that adequate quality indicators and additional support for implementation of P4P would be needed. Most healthcare providers also had serious concerns that P4P would induce unintended consequences. In order to conduct successful implementation of P4P, purchaser should make more efforts such as increasing providers’ level of awareness about P4P, providing technical and educational support, reducing their burden, developing a cooperative relationship with providers, developing more accurate quality measures, and minimizing the unintended consequences.
Abstract
We conducted a systematic review to summarize providers’ attitudes toward pay-for-performance (P4P), focusing on their general attitudes, the effects of P4P, their favorable design and implementation methods, and concerns. An electronic search was performed in PubMed and Scopus using selected keywords including P4P. Two reviewers screened target articles using titles and abstract review and then read the full version of the screened articles for the final selections. In addition, one reference of screened articles and one unpublished report were also included. Therefore, 14 articles were included in this study. Healthcare providers’ attitudes on P4P were summarized in two ways. First, we gathered their general attitudes and opinions regarding the effects of P4P. Second, we rearranged their opinions regarding desirable P4P design and implementation methods, as well as their concerns. This study showed the possibility that some healthcare providers still have a low level of awareness about P4P and might prefer voluntary participation in P4P. In addition, they felt that adequate quality indicators and additional support for implementation of P4P would be needed. Most healthcare providers also had serious concerns that P4P would induce unintended consequences. In order to conduct successful implementation of P4P, purchaser should make more efforts such as increasing providers’ level of awareness about P4P, providing technical and educational support, reducing their burden, developing a cooperative relationship with providers, developing more accurate quality measures, and minimizing the unintended consequences.
참고문헌 (44)
- Spitzer AR, "Pay for performance in neonatal-perinatal medicine: will the quality of health care improve in the neonatal intensive care unit? A business model for improving outcomes in the neonatal intensive care unit", Clin Perinatol, 37(1), pp.167~177 (2010)
- Value for money in health spending, "Organization for Economic Cooperation and Development", Organization for Economic Cooperation and Development, 105~123 (2010)
- Epstein AM, "Paying for performance in the United States and abroad", N Engl J Med, 355(4), pp.406~408 (2006)
- Dudley RA, "Pay-for-performance research: how to learn what clinicians and policy makers need to know", JAMA, 294(14), pp.1821~1823 (2005)
- Rosenthal MB, "Early experience with pay-for-performance: from concept to practice", JAMA, 294(14), pp.1788~1793 (2005)
- Organization for Economic Cooperation and Development, "Improving value in heath care: measuring quality", Forum on quality of care (2010)
- "Pay for performance overview"[URL]
- Pearson SD, "The impact of pay-for-performance on health care quality in Massachusetts, 2001-2003", Health Aff (Millwood), 27(4), pp.1167~1176 (2008)
- "Premier hospital quality incentive demonstration project: project findings from year two" (2007)[URL]
- "Medicare physician group practice demonstration fact sheet" (2011)[URL]
- Peckham S, "The new general practice contract and reform of primary care in the United Kingdom", Healthc Policy, 2(4), pp.34~48 (2007)
- "Practice incentive program (PIP)"[URL]
- Gilmore AS, "Patient outcomes and evidence-based medicine in a preferred provider organization setting: a sixyear evaluation of a physician pay-for-performance program", Health Serv Res, 42(6 Pt 1), pp.2140~2159 (2007)
- Armour BS, "The influence of year-end bonuses on colorectal cancer screening", Am J Manag Care, 10(9), pp.617~624 (2004)
- Foels T, "Integrating pay for performance with educational strategies to improve diabetes care", Popul Health Manag, 12(3), pp.121~129 (2009)
- Campbell SM, "Effects of pay for performance on the quality of primary care in England", N Engl J Med, 361(4), pp.368~378 (2009)
- Hillman AL, "Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care", Am J Public Health, 88(11), pp.1699~1701 (1998)
- Shen Y, "Selection incentives in a performance-based contracting system", Health Serv Res, 38(2), pp.535~552 (2003)
- Hedgecoe AM, "It’s money that matters: the financial context of ethical decision-making in modern biomedicine", Sociol Health Illn, 28(6), pp.768~784 (2006)
- Mansfield RJ, "P4P is changing me", Med Econ, 84(9), pp.56~60 (2007)
- Werner RM, "Comparison of change in quality of care between safety-net and nonsafety- net hospitals", JAMA, 299(18), pp.2180~2187 (2008)
- Relman AS, "Medical professionalism in a commercialized health care market", JAMA, 298(22), pp.2668~2670 (2007)
- Pay for performance: a decision guide for purchasers. Final contract report, "Dudley RA", Agency for Healthcare Research and Quality, 1~28 (2006)
- Murphy KM, "Nonprimary care physicians’ views on office-based quality incentive and improvement programs", Am J Med Qual, 23(6), pp.427~439 (2008)
- Centers for Medicare and Medicaid Services, "State medicaid director letter. No. 06-003", ~ (2006)
- "Paying for performance in health: guide to developing the blueprint" (2008)[URL]
- "An overview of research on the effects of results-based financing" (2008)[URL]
- McDonald R, "Pay for performance in primary care in England and California: comparison of unintended consequences", Ann Fam Med, 7(2), pp.121~127 (2009)
- Development of pay-for-performance model for quality assessment items in medical care benefit, "Lee SI", Health Insurance Review and Assessment Service, 109~139 (2010)
- Young GJ, "Pioneering pay-forquality: lessons from the rewarding results demonstrations", Health Care Financ Rev, 29(1), pp.59~70 (2007)
- Erekson EA, "Pay-for-performance: a survey of specialty providers in urogynecology", J Reprod Med, 56(1), pp.3~11 (2011)
- Casalino LP, "General internists’ views on pay-for-performance and public reporting of quality scores: a national survey", Health Aff(Millwood), 26(2), pp.492~499 (2007)
- Natale JE, "Benchmarking, public reporting, and pay-for-performance: a mixed-methods survey of California pediatric intensive care unit medical directors", Pediatr Crit Care Med, 12(6), pp.225~232 (2011)
- Damberg CL, "Taking stock of pay-for-performance: a candid assessment from the front lines", Health Aff (Millwood), 28(2), pp.517~525 (2009)
- Pines JM, "Emergency department operational changes in response to pay-for-performance and antibiotic timing in pneumonia", Acad Emerg Med, 14(6), pp.545~548 (2007)
- Locke RG, "Attitudes toward pay-forperformance initiatives among primary care osteopathic physicians in small group practices", J Am Osteopath Assoc, 108(1), pp.21~24 (2008)
- Steiger B, "Poll finds physicians very wary of pay-forperformance programs", Physician Exec, 31(6), pp.6~11 (2005)
- Reiter KL, "Hospital responses to pay-for-performance incentives", Health Serv Manage Res, 19(2), pp.123~134 (2006)
- Kaczorowski J, "Pay-for-performance incentives for preventive care: views of family physicians before and after participation in a reminder and recall project (P-PROMPT)", Can Fam Physician, 57(6), pp.690~696 (2011)
- Goldman LE, "Public reporting and pay-for-performance: safety-net hospital executives’ concerns and policy suggestions", Inquiry, 44(2), pp.137~145 (2007)
- Young G, "Pay-for-performance in safety net settings: issues, opportunities, and challenges for the future", J Healthc Manag, 55(2), pp.132~141 (2010)
- McDonald R, "Paying for performance in primary medical care: learning about and learning from “success” and “failure” in England and California", J Health Polit Policy Law, 34(5), pp.747~776 (2009)
- Van Herck P, "Systematic review: effects, design choices, and context of pay-for-performance in health care", BMC Health Serv Res, 10, pp.247~ (2010)
- Healy J, "Designing safer health care through responsive regulation", Med J Aust, 184(10 Suppl), pp.56~59 (2006)
