Evidence map›Paper›PMID 32448014›Full record

SynthesisInquiry : a journal of medical care organization, provision and financing

Health Care Professionals' Perceptions of Pay-for-Performance in Practice: A Qualitative Metasynthesis.

Barbara Martin, Jacqueline Jones, Matthew Miller, Rachel Johnson-Koenke

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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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 at 3 institutions in 1 country.

Barbara MartinUniversity of Colorado, Aurora, USA.ORCID 0000-0002-2270-8590
Jacqueline JonesUniversity of Colorado, Aurora, USA.ORCID 0000-0001-9714-995X
Matthew MillerUniversity of Colorado, Aurora, USA.
Rachel Johnson-KoenkeUniversity of Colorado, Aurora, USA.
University of Colorado Anschutz Medical Campus · USDenver VA Medical Center · USGeriatric Research Education and Clinical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incentive-based pay-for-performance (P4P) models have been introduced during the last 2 decades as a mechanism to improve the delivery of evidence-based care that ensures clinical quality and improves health outcomes. There is mixed evidence that P4P has a positive effect on health outcomes and researchers cite lack of engagement from health care professionals as a limiting factor. This qualitative metasynthesis of existing qualitative research was conducted to integrate health care professionals' perceptions of P4P in clinical practice. Four themes emerged during the research process: positive perceptions of the value of performance measurement and associated financial incentives; negative perceptions of the performance measurement and associated financial incentives; perceptions of how P4P programs influence the quality/appropriateness of care; and perceptions of the influence of P4P program on professional roles and workplace dynamics. Identifying factors that influence health care professionals' perceptions about this type of value-based payment model will guide future research.

Indexed as

Quality ImprovementStakeholder ParticipationHealth PersonnelHumansQualitative ResearchReimbursement, Incentivehealth care professional engagementincentive paymentsintrinsic motivationpay-for-performancephysician engagementquality measurementvalue-based payment models

Identifiers

PMID32448014
PMCPMC7249558
OpenAlexW3028155377

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.