ArticleJournal of general internal medicine2018
Could Pay-for-Performance Worsen Health Disparities?
Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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
16 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
- Designing a performance-based payment model for physicians at outpatient clinics contracted with Iran health insurance: a case study from Iran.Journal of preventive medicine and hygiene · 2025Article
- Launching Financial Incentives for Physician Groups to Improve Equity of Care by Patient Race and Ethnicity.The Milbank quarterly · 2024Article
- Social Risk and Dialysis Facility Performance in the First Year of the ESRD Treatment Choices Model.JAMA · 2024Article
- Inclusion of disability in primary healthcare facilities and socioeconomic inequity in Brazil.Revista de saude publica · 2024Article
- Article
- Assessment of Ethno-racial and Insurance-based Disparities in Pediatric Forearm and Tibial Fracture Care in the United States.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Diverse community leaders' perspectives about quality primary healthcare and healthcare measurement: Qualitative community-based participatory research.International journal for equity in health · 2021Article
- Psychometric evaluation of a patient-reported item bank for healthcare engagement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Neighborhood Disadvantage and Hospital Quality Ratings in the Medicare Hospital Compare Program.Medical care · 2020Article
- Capsule Commentary on Okunrintemi et al., Association of Income Disparities with Patient Reported Healthcare Experience.Journal of general internal medicine · 2019Article
- An Analysis of Pay-for-Performance Schemes and Their Potential Impacts on Health Systems and Outcomes for Patients.Critical care research and practice · 2019Article
- Primary care clinicians' perspectives about quality measurements in safety-net clinics and non-safety-net clinics.International journal for equity in health · 2018Article
- Comparison of Populations Served in Hospital Service Areas With and Without Comprehensive Primary Care Plus Medical Homes.JAMA network open · 2018Article
- Do older adults with shoulder disorders who meet the minimal clinically important difference also present low disability at discharge? An observational study.Brazilian journal of physical therapyObservational
- Expert Views on State Policies to Improve Engagement and Retention in Treatment for Opioid Use Disorder: A Qualitative Analysis of an Online Modified Delphi Process.Journal of addiction medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Pay-for-performance (P4P) has become a prominent component of health care funding in the Affordable Care Act (ACA) era. Although the ACA's future remains unclear, these programs receive bipartisan support and will likely continue to be a part of payment policies. At the same time, racial and class disparities remain among the most pressing of the many challenges facing the US health system. We review evidence of the effects of P4P on disparities at the population and individual levels. Providers caring for predominantly minority patients or those with lower socioeconomic status are known to have poorer quality metrics. Financial penalties run the risk of exacerbating disparities along race and class lines and across hospitals. The evidence regarding P4P programs is mixed, with safety-net hospitals facing greater penalties but with some improvement in outcomes among minority patients. A better understanding of the longitudinal effects of these plans is needed, and policymakers should be conscious of the risks in expanding these programs.
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Identifiers
What OpenQuestion holds
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.