Evidence map›Paper›PMID 19124872›Full record

ArticleHealth affairs (Project Hope)

P4P4P: an agenda for research on pay-for-performance for patients.

Kevin G Volpp, Mark V Pauly, George Loewenstein, David Bangsberg

5 registry-linked trialsAbstract read
In one paragraph

Article in Health affairs (Project Hope). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01061905 nacompletednot on this map

Behavioral Economics Concepts Influencing Healthy Food Choice - Pilot 2

TypeinterventionalSponsorUniversity of PennsylvaniaRan2010 to 2011Enrolled4ConditionsObesity, OverweightArmsCalorie information, Exercise Equivalent only, Calorie & Exercise equivalent information
NCT01303081 nacompletednot on this map

Financial Incentive Structures for Smoking Cessation: A Pilot Randomized Trial

TypeinterventionalSponsorUniversity of PennsylvaniaRan2011 to 2012Enrolled63ConditionsTobacco Use DisorderArmsIndividual Rewards, Fixed Deposits, Chosen Deposits, Competitive Deposits (Pari-Mutuel), Usual Care
NCT01526265 nacompletednot on this map

Way to Quit - Comparative Efficacy, Acceptance and Effectiveness of Health Incentive Structures

TypeinterventionalSponsorUniversity of PennsylvaniaRan2012 to 2015Enrolled2,185ConditionsTobacco Use DisorderArmsUsual Care, Individual Rewards, Fixed Deposits, Competitive Deposits (Pari-Mutuel), Collaborative Rewards
NCT03139019 nacompletednot on this map

Medicaid Incentives for the Prevention of Chronic Diseases: Diabetes Prevention

TypeinterventionalSponsorUniversity of PennsylvaniaRan2014 to 2016Enrolled596ConditionsDiabetes PreventionArmsProcess incentives, Outcome incentives, Process and Outcome incentives
NCT04772469 nacompletednot on this map

Self-Test Strategies and Linkage Incentives to Improve ART and PrEP Uptake in Men

TypeinterventionalSponsorUniversity of California, San FranciscoRan2021 to 2023Enrolled934ConditionsHuman Immunodeficiency Virus, Acquired Immunodeficiency Syndrome, HIV Infections, Sexually Transmitted Diseases, ViralArmsProvision of multiple self-tests, Small monetary incentives, Use of SMS/text reminders to motivate adherence to ART or PrEP
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Economic evaluation of pay-for-performance in health care: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2012
    Pooled it
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kevin G VolppCenter for Health Incentives, Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, USA. volpp70@mail.med.upenn.edu
Mark V Pauly
George Loewenstein
David Bangsberg

Funding

TB PREVENTION AND HIV IN THE HOMELESS--AN INTERVENTIONR01MH054907 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 1995 to 2014
$20.7M
A RCT of HIV Adherence Case Management and Modified DOTR01MH064388 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B. · 2003 to 2007
$3.6M
HIV Outcomes Research and Training in UgandaK24AA015287 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 2004 to 2008
$680k
Financial incentives for smoking cessationR01DP000100 · DP · UNIVERSITY OF PENNSYLVANIA · PI VOLPP, KEVIN G · 2004 to 2006
$600k
Antiretviral therapy adherence in resource poor settingR03MH066654 · NIMH · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 2002 to 2003
$151k
NCCDPHP CDC HHS R01 DP000100NCCDPHP CDC HHS R01 DP000100-01NIAAA NIH HHS K24 AA015287NIMH NIH HHS R01 MH054907NIMH NIH HHS R01 MH064388NIMH NIH HHS R03 MH066654PHS HHS 015287PHS HHS 54907PHS HHS 64388PHS HHS 66654
6 · The paper itself

Abstract

Unhealthy behavior is a major cause of poor health outcomes and high health care costs. In this paper we describe an agenda for research to guide broader use of patient-targeted financial incentives, either in conjunction with provider-targeted financial incentives (pay-for-performance, or P4P) or in clinical contexts where provider-targeted approaches are unlikely to be effective. We discuss evidence of proven effectiveness and limitations of the existing evidence, reasons for underuse of these approaches, and options for achieving wider use. Patient-targeted incentives have great potential, and systematic testing will help determine how they can best be used to improve population health.

Indexed as

Health Services ResearchHumansQuality Assurance, Health CareReimbursement, IncentiveUnited States

Identifiers

PMID19124872
PMCPMC3507539

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.