ArticleHealth services research2015
Beyond Measurement and Reward: Methods of Motivating Quality Improvement and Accountability.
Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled 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.
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
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health care professionals' motivation, their behaviors, and the quality of hospital care: A mixed-methods systematic review.Health care management reviewPooled it
- Physicians' Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study.Annals of family medicineTrial
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- Using United States medicare program claims to identify reliable measures of low value services influenced by primary care physician decisions.BMC health services research · 2026Observational
- Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study.International journal of nursing sciences · 2025Article
- Opening the black box of health systems performance management using the behaviour change techniques taxonomy: implications for health research and practice.Health research policy and systems · 2025Article
- Exploring Workplace Learning in Surgical Practice: How Mindset and Motivation Are Associated With Self-Regulated Learning Behaviors.Perspectives on medical education · 2025Article
- Physician Altruism and Spending, Hospital Admissions, and Emergency Department Visits.JAMA health forum · 2024Article
- Financing the "Village": Establishing a Sustainable Financial System for Child Behavioral Health.Child and adolescent psychiatric clinics of North America · 2024Review
- Effect of Departmental and Physician-Selected Interventions on Point-of-Care Ultrasound Documentation Completion.Cureus · 2024Article
- Performance on Patient Experience Measures of Former Chief Medical Residents as Physician Exemplars Chosen by the Profession.JAMA internal medicine · 2023Article
- Article
- Mapping the scientific research on integrated care: a bibliometric and social network analysis.Frontiers in psychology · 2023Review
- Automated Artificial Intelligence-Based Assessment of Lower Limb Alignment Validated on Weight-Bearing Pre- and Postoperative Full-Leg Radiographs.Diagnostics (Basel, Switzerland) · 2022Article
- Evaluation of the introduction of QOF quality improvement modules in English general practice: early findings from a rapid, qualitative exploration of implementation.BMJ open quality · 2022Article
- Association of Primary Care Physician Compensation Incentives and Quality of Care in the United States, 2012-2016.Journal of general internal medicine · 2022Article
- Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study.International journal of health policy and management · 2022Observational
- The roles, activities and impacts of middle managers who function as knowledge brokers to improve care delivery and outcomes in healthcare organizations: a critical interpretive synthesis.BMC health services research · 2022Review
- What do end-users want to know about managing the performance of healthcare delivery systems? Co-designing a context-specific and practice-relevant research agenda.Health research policy and systems · 2021Review
- Effects of Activity-Based Hospital Payments in Israel: A Qualitative Evaluation Focusing on the Perspectives of Hospital Managers and Physicians.International journal of health policy and management · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe article examines public policies designed to improve quality and accountability that do not rely on financial incentives and public reporting of provider performance. PRINCIPAL
findingsPayment policy should help temper the current "more is better" attitude of physicians and provider organizations. Incentive neutrality would better support health professionals' intrinsic motivation to act in their patients' best interests to improve overall quality than would pay-for-performance plans targeted to specific areas of clinical care. Public policy can support clinicians' intrinsic motivation through approaches that support systematic feedback to clinicians and provide concrete opportunities to collaborate to improve care. Some programs administered by the Centers for Medicare & Medicaid Services, including Partnership for Patients and Conditions of Participation, deserve more attention; they represent available, but largely ignored, approaches to support providers to improve quality and protect beneficiaries against substandard care.
conclusionsPublic policies related to quality improvement should focus more on methods of enhancing professional intrinsic motivation, while recognizing the potential role of organizations to actively promote and facilitate that motivation. Actually achieving improvement, however, will require a reexamination of the role played by financial incentives embedded in payments and the unrealistic expectations placed on marginal incentives in pay-for-performance schemes.
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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.