ReviewHealth services research1998
Purchasing population health: aligning financial incentives to improve health outcomes.
Review in Health services research, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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
11 citing papers in PubMed.
- An Organizational Case Study of Mental Models among Health System Leaders during Early-Stage Implementation of a Population Health Approach.Journal of healthcare leadership · 2024Article
- Determinants of life-expectancy and disability-adjusted life years (DALYs) in European and Organisation for Economic Co-operation and Development (OECD) countries: A longitudinal analysis (1990-2019).SSM - population health · 2023Article
- Recent quantitative research on determinants of health in high income countries: A scoping review.PloS one · 2020Article
- Making the economic case for prevention--a view from Wales.BMC public health · 2012Article
- Protecting and enhancing health: community engagement, collaborations, and incentives for prevention.The journal of primary prevention · 2010Article
- Conceptualizing a quality plan for healthcare. A philosophical reflection on the relevance of the health profession to society.Health care analysis : HCA : journal of health philosophy and policy · 2007Review
- Transparent measures are essential for coordinating and rewarding quality improvement in healthcare.MedGenMed : Medscape general medicine · 2006Article
- The development of a survey instrument for community health improvement.Health services research · 2001Article
- Health expectancy in New Zealand, 1981-1991: social variations and trends in a period of rapid social and economic change.Journal of epidemiology and community health · 1999Article
- Creating systems of developmental health care for children.Journal of urban health : bulletin of the New York Academy of Medicine · 1998Review
- Health services research.Health services research · 1998Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo review the concept of population health, including its definition, measurement, and determinants, and to suggest an approach for aligning financial incentives toward this goal. DATA SOURCE, STUDY DESIGN, DATA EXTRACTION. Literature review, policy analysis PRINCIPAL
findingsThe article presents the argument that a major reason for our slow progress toward health outcome improvement is that there is no operational definition of population health and that financial incentives are not aligned to this goal. Current attempts at process measures as indicators of quality or outcome are not adequate for the task. It is suggested that some measure of health-adjusted life expectancy be adopted for this purpose, and that integrated delivery systems and other agents responsible for nonmedical determinants be rewarded for improvement in this measure. This will require the development of an investment portfolio across the determinants of health based on relative marginal return to health, with horizontal integration strategies across sectoral boundaries. A 20-year three-phase development strategy is proposed, including components of research and acceptance, integrated health system implementation, and cross-sectoral integration.
conclusionsThe U.S. healthcare system is a $1 trillion industry without a definition of its product. Until population outcome measures are developed and rewarded for, we will not solve the twenty-first century challenge of maximizing health outcome improvement for the resources available.
Indexed as
Identifiers
9618669PMC1070262What 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.