Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines

Social Science and Medicine

Volumn 67, Issue 4, 2008, Pages 505-510

  Quimbo, Stella A ^b   Peabody, John W ^a   Shimkhada, Riti ^a   Woo, Kimberly ^a   Solon, Orville ^b  

^a Institute for Global Health   (United States)

^b UNIVERSITY OF THE PHILIPPINES   (Philippines)

Author keywords

Accreditation; Insurance payment; Pediatrics; Philippines; Physicians; Quality of care

Indexed keywords

HEALTH CARE; HEALTH POLICY; INSURANCE SYSTEM;

ACCREDITATION; ARTICLE; CONTROLLED STUDY; HEALTH CARE QUALITY; HEALTH INSURANCE; PEDIATRICS; PHILIPPINES; PHYSICIAN;

ACCREDITATION; ADULT; FEMALE; HUMANS; INSURANCE CLAIM REVIEW; INSURANCE, HEALTH, REIMBURSEMENT; MALE; NATIONAL HEALTH PROGRAMS; PEDIATRICS; PHILIPPINES; PHYSICIAN INCENTIVE PLANS; PHYSICIANS; QUALITY OF HEALTH CARE;

ASIA; EURASIA; PHILIPPINES; SOUTHEAST ASIA;

EID: 47249120349     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2008.04.013     Document Type: Article

References (25)

1. Akerlof G. The market for 'lemons:' quality uncertainty and the market mechanism. Quarterly Journal of Economics 84 3 (1970) 488-500
2. Arrow K. Uncertainty and the welfare economics of medical care. American Economic Review 53 (1963) 941-969
3. Bodenheimer T. The American health care system - physicians and the changing medical marketplace. New England Journal of Medicine 340 7 (1999) 488-492
4. Campbell S., Reeves D., Kontopantelis E., Middleton E., Sibbald B., and Roland M. Quality of primary care in England with the introduction of pay for performance. New England Journal of Medicine 357 (2007) 181-190
5. Chen J., Rathore S., Radford M.J., and Krumholz H.M. JCAHO accreditation and quality of care for acute myocardial infarction. Health Affairs 22 2 (2003) 243-254
6. Donabedian A. Evaluating the quality of medical care. The Milbank Quarterly 83 4 (2005) 691-729
7. Dresselhaus T.R., Peabody J.W., Lee M., Glassman P., and Luck J. Measuring compliance with preventive care guidelines: a comparison of standardized patients, clinical vignettes and the medical record. Journal of General Internal Medicine 15 11 (2000) 782-788
8. Dudley R.A., Miller R.H., Korenbrot T.Y., and Luft H.S. The impact of financial incentives on quality of care. The Milbank Quarterly 76 4 (1998) 649-686
9. Epstein A.M., Lee T.H., and Hamel M.B. Paying physicians for high-quality care. New England Journal of Medicine 350 (2004) 406-410
10. Hillman A. Managing the physician: rules vs. incentives. Health Affairs 10 4 (1991) 138-146
11. Institute of Medicine, Committee on Quality Health Care in America. Crossing the quality chasm: A new health system for the 21st century (2001), National Academy Press, Washington, DC
12. Kumaranayake L., Lake S., Mujinja P., Hongoro C., and Mpembeni R. How do countries regulate the health sector? Evidence from Tanzania and Zimbabwe. Health Policy and Planning 15 4 (2000) 357-367
13. Lindenauer P.K., Remus D., Roman S., Rothberg M.B., Benjamin E.M., Ma A., et al. Public reporting and pay for performance in hospital quality improvement. New England Journal of Medicine 356 (2007) 486-496
14. McGlynn E.A. There is no perfect health system. Health Affairs 23 3 (2004) 100-102
15. Miller R.H., and Luft H.S. HMO plan performance update: an analysis of the literature, 1997-2001. Health Affairs 21 4 (2002) 63-86
16. Pauly M. Doctors and their workshops: Economic models of physician behavior (1980), The University of Chicago Press, Chicago, IL
17. Peabody J.W., and Liu A. A cross national comparison of the quality of clinical care using vignettes. Health Policy and Planning 22 5 (2007) 294-302
18. Peabody J.W., Luck J., Glassman P., Jain S., Hansen J., Spell M., et al. Measuring the quality of physician practice by using clinical vignettes: a prospective validation study. Annals of Internal Medicine 141 (2004) 771-780
19. Peabody J.W., Tozija F., Munoz J.A., Nordyke R.J., and Luck J. Using vignettes to compare the quality of care variation in economically divergent countries. Journal of Health Services Research 39 6 (2004) 1951-1970
20. Peabody J., Gertler P., and Leibowitz A. The policy implications of better structure and process on birth outcomes in Jamaica. Health Policy 43 1 (1998) 1-13
21. Petersen L.A., Woodard L.D., Urech T., Daw C., and Sookanan S. Does pay-for-performance improve the quality of health care?. Annals of Internal Medicine 145 (2006) 265-272
22. Philippine Health Insurance Corporation. Benchbook on performance improvement of health services (2004) Pasig, Metro Manila
23. Salmon, J., Heavens, J., Lombard, C., & Tavrow, P. (2003). The impact of accreditation on the quality of hospital care: KwaZulu-Natal Province, Republic of South Africa. Operations Research Results 2(17), Bethesda, MD. Published for the US Agency for International Development (USAID) by the Quality Assurance Project, University Research Co., LLC.
24. Shin Y.S. Hospital accreditation - a universal perspective. World Hospitals 31 1 (1995) 22-28
25. Viswanathan H., and Salmon J.W. Accrediting organizations and quality improvement. American Journal of Managed Care 6 10 (2000) 1117-1130