ArticleAmerican journal of public health2012
Quality improvement with pay-for-performance incentives in integrated behavioral health care.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 171 citations in OpenAlex.
- Association of Alternative Payment and Delivery Models With Outcomes for Mental Health and Substance Use Disorders: A Systematic Review.JAMA network open · 2020Pooled it
- Payment methods for outpatient care facilities.The Cochrane database of systematic reviews · 2017Pooled it
- Impact of Agency Receipt of Incentives and Reminders on Engagement and Continuity of Care for Clients With Co-Occurring Disorders.Psychiatric services (Washington, D.C.) · 2018Trial
- Participation in Training for Depression Care Quality Improvement: A Randomized Trial of Community Engagement or Technical Support.Psychiatric services (Washington, D.C.) · 2015Trial
- [Integrated care for depressive disorders].Der Nervenarzt · 2014Trial
- Improving practice in community-based settings: a randomized trial of supervision - study protocol.Implementation science : IS · 2013Trial
- Value Based Purchasing to Increase Tobacco Cessation Counseling and Medications in Behavioral Health Homes.Community mental health journal · 2026Article
- Use of data-driven decision-making among agencies serving individuals with criminal-legal system involvement: a qualitative study.BMC health services research · 2025Article
- The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review.BMC primary care · 2025Article
- A mixed-methods study exploring the benefits, drawbacks, and utilization of data in care: Findings from the EPI-CAL early psychosis learning health care network.Schizophrenia research · 2025Review
- Exploring the Glycemic Control of Pay-for-Performance Program for Psychiatric Patients With Diabetes in Real World: A Retrospective Quasiexperimental Study.Journal of diabetes research · 2025Article
- Inter-organizational alignment and implementation outcomes in integrated mental healthcare for children and adolescents: a cross-sectional observational study.Implementation science : IS · 2024Observational
- Inter-Organizational Alignment and Implementation Outcomes in Integrated Mental Healthcare for Children and Adolescents: A Cross-Sectional Observational Study.Research square · 2024Article
- Minimal important difference metrics and test-retest reliability of the PTSD Checklist for DSM-5 with a primary care sample.Journal of traumatic stress · 2023Article
- The Voice of Patients Really Matters: Using Patient-Reported Outcomes and Experiences Measures to Assess Effectiveness of Home-Based Integrated Care-A Scoping Review of Practice.Healthcare (Basel, Switzerland) · 2022Article
- Prioritizing Support Offered to Caregivers by Examining the Status Quo and Opportunities for Enhancement When Using Web-Based Self-reported Health Questionnaires: Descriptive Qualitative Study.JMIR formative research · 2022Article
- Care team and practice-level implementation strategies to optimize pediatric collaborative care: study protocol for a cluster-randomized hybrid type III trial.Implementation science : IS · 2022Article
- Exploration, Preparation, and Implementation of Standardized Assessment in a Multi-agency School Behavioral Health Network.Administration and policy in mental health · 2021Article
- Improving quality and performance in substance use treatment programs: What is being done and why is it so hard?Journal of social work (London, England) · 2021Article
- Effectiveness of value-based purchasing for substance use treatment engagement and retention.Journal of substance abuse treatment · 2021Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe evaluated a quality improvement program with a pay-for-performance (P4P) incentive in a population-focused, integrated care program for safety-net patients in 29 community health clinics.
methodsWe used a quasi-experimental design with 1673 depressed adults before and 6304 adults after the implementation of the P4P program. Survival analyses examined the time to improvement in depression before and after implementation of the P4P program, with adjustments for patient characteristics and clustering by health care organization.
resultsProgram participants had high levels of depression, other psychiatric and substance abuse problems, and social adversity. After implementation of the P4P incentive program, participants were more likely to experience timely follow-up, and the time to depression improvement was significantly reduced. The hazard ratio for achieving treatment response was 1.73 (95% confidence interval=1.39, 2.14) after the P4P program implementation compared with pre-program implementation.
conclusionsAlthough this quasi-experiment cannot prove that the P4P initiative directly caused improved patient outcomes, our analyses strongly suggest that when key quality indicators are tracked and a substantial portion of payment is tied to such quality indicators, the effectiveness of care for safety-net populations can be substantially improved.
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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.