ArticleHealth services research2011
Do hospitals alter patient care effort allocations under pay-for-performance?
Article in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Design and effects of outcome-based payment models in healthcare: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Pooled it
- A comparison of methods for health policy evaluation with controlled pre-post designs.Health services research · 2020Article
- From Concepts and Codes to Healthcare Quality Measurement: Understanding Variations in Value Set Vocabularies for a Statin Therapy Clinical Quality Measure.EGEMS (Washington, DC) · 2017Article
- Pay-for-Performance: Disappointing Results or Masked Heterogeneity?Medical care research and review : MCRR · 2017Review
- Is the distribution of care quality provided under pay-for-performance equitable? Evidence from the Advancing Quality programme in England.International journal for equity in health · 2016Article
- Considering potential benefits and consequences of hospital report cards: what are the next steps?Health services research · 2015Article
- Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions.Rand health quarterly · 2014Article
- Nursing-sensitive indicators: a concept analysis.Journal of advanced nursing · 2014Article
- Does winning a pay-for-performance bonus improve subsequent quality performance? Evidence from the Hospital Quality Incentive Demonstration.Health services research · 2014Article
- Clinical guidelines, the politics of value, and the practice of medicine: physicians at the crossroads.Journal of oncology practice · 2012Article
- From simply inaccurate to complex and inaccurate: complexity in standards-based quality measures.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo determine whether hospitals increase efforts on easy tasks relative to difficult tasks to improve scores under pay-for-performance (P4P) incentives. DATA SOURCE: The Centers for Medicare and Medicaid Services Hospital Compare data from Fiscal Years 2003 through 2005 and 2003 American Hospital Association Annual Survey data. STUDY
designWe classified measures of process compliance targeted by the Premier Hospital Quality Incentive Demonstration as easy or difficult to improve based on whether they introduce additional per-patient costs. We compared process compliance on easy and difficult tasks at hospitals eligible for P4P bonus payments relative to hospitals engaged in public reporting using random effects regression models. PRINCIPAL
findingsP4P hospitals did not preferentially increase efforts for easy tasks in patients with heart failure or pneumonia, but they did exhibit modestly greater effort on easy tasks for heart attack admissions. There is no systematic evidence that effort was allocated toward easier processes of care and away from more difficult tasks.
conclusionsDespite perverse P4P incentives to change allocation of efforts across tasks to maximize performance scores at lowest cost, we find little evidence that hospitals respond to P4P incentives as hypothesized. Alternative incentive structures may motivate greater response by targeted hospitals.
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Registered trials
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