Evidence map›Paper›PMID 31131891›Full record

ArticleHealth services research2019

The effects of a schizophrenia pay-for-performance program on patient outcomes in Taiwan.

Tsung-Tai Chen, Jing-Jung Yang, Ya-Seng Arthur Hsueh, Vinchi Wang

Abstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Effectiveness of Nationwide COPD Pay-for-Performance Program on COPD Exacerbations in Taiwan.International journal of chronic obstructive pulmonary disease
    Article
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.

Tsung-Tai ChenDepartment of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan, R.O.C.ORCID 0000-0003-0636-6911
Jing-Jung YangDepartment of Psychiatry, Cardinal Tien Hospital, New Taipei City, Taiwan, R.O.C.ORCID 0000-0001-8399-2954
Ya-Seng Arthur HsuehCentre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.ORCID 0000-0002-6592-4402
Vinchi WangSchool of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan, R.O.C.ORCID 0000-0002-6092-7508

Funding

Cardinal Tien Hospital CTH106A-2B09Ministry of Science and Technology NSC: 103-2628-H-030-003-
6 · The paper itself

Abstract

objectiveTo examine the effects of a schizophrenia pay-for-performance (P4P) program on the health outcomes of patients in Taiwan. DATA SOURCES: Seven years (2007-2013) of data from the National Health Insurance Administration (NHIA) databases were examined. STUDY

designP4P patients included those who were treated at participating facilities and consecutively included in the regular group (classified by the NHIA). Non-P4P patients were treated at nonparticipating facilities and never included in the regular group. The caliper matching method and a generalized estimating equation were used to estimate difference-in-differences models (baseline year 2009) and examine the short- and long-term effects of the P4P program on adverse outcomes. PRINCIPAL

findingsThe schizophrenia P4P program was associated with decreases in unscheduled outpatient visits (OR: 0.69, P < 0.001) and compulsory admissions (incidence rate ratio: 0.33, P < 0.05). However, this program was not associated with decreases in other outcomes including emergency department visits for any disease, admissions to an acute psychiatric ward, and readmission within 6 months.

conclusionsAlthough the disease management component of the P4P program can be beneficial for compulsory admissions, more sophisticated activities, such as health promotion targeting disadvantaged patients, could be implemented to reduce the occurrence of complicated adverse outcomes.

Indexed as

AdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNational Health ProgramsOutcome Assessment, Health CareReimbursement, IncentiveSchizophreniaTaiwancompulsory admissiondisease management programpay-for-performancereadmissionschizophrenia

Identifiers

PMID31131891
PMCPMC6736919

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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.