Economic incentives in general practice: The impact of pay-for-participation and pay-for-compliance programs on diabetes care

Health Policy

Volumn 90, Issue 2-3, 2009, Pages 140-148

  Lippi Bruni, Matteo ^a   Nobilio, Lucia ^b   Ugolini, Cristina ^a  

^a UNIVERSITY OF BOLOGNA   (Italy)

^b Regional Health Agency of Emilia Romagna   (Italy)

Author keywords

Diabetes mellitus; Health economics; Multilevel modelling; Pay for participation incentives; Primary care

Indexed keywords

ARTICLE; DISEASE MANAGEMENT; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE; HEALTH CARE QUALITY; HEALTH ECONOMICS; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; HYPOTHESIS; MALE; NON INSULIN DEPENDENT DIABETES MELLITUS; PHYSICIAN INCOME; PRIMARY MEDICAL CARE; PROBABILITY; RESPONSIBILITY;

ADULT; AGE FACTORS; AGED; COOPERATIVE BEHAVIOR; DIABETES MELLITUS, TYPE 2; FAMILY PRACTICE; FEMALE; HOSPITALIZATION; HUMANS; ITALY; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; REIMBURSEMENT, INCENTIVE;

EID: 63749123214     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2008.09.008     Document Type: Article

References (38)

1. Wennberg J.E., and Gittelsohn A. Professional uncertainty and the problem of supplier induced demand. Social Science & Medicine 16 (1982) 811-824
2. Davis P., Gribben B., Scott A., and Lay-Yee R. The "supply hypothesis" and medical practice variation in primary care: testing economic and clinical models of interpractitioner variation. Social Science & Medicine 50 (2000) 407-418
3. Grytten J., and Sorensen R. Practice variation and physician-specific effects. Journal of Health Economics 22 (2003) 403-418
4. Scott A., and Farrar S. Incentives in health care. In: Scott A., Maynard A., and Elliott R. (Eds). Advances in health economics (2003), Wiley
5. Iversen T., and Luras H. Capitation and incentives in primary care. In: Jones A.M. (Ed). The Elgar companion to health economics (2006), Edward Elgar, Cheltenham, UK 269-278
6. Wester G.P., and Groenewegen P.P. Medical practice variations: changing the theoretical approach. Scandinavian Journal of Public Health 27 (1999) 173-180
7. Culyer A.J., and Newhouse J.P. Handbook of health economics (2000), Elsevier Science, New York
8. Gravelle H., and Masiero G. Quality incentives in a regulated market with imperfect information and switching costs: capitation in general practice. Journal of Health Economics 19 (2000) 1067-1088
9. Smith P.C., and York N. Quality incentives: the case of UK general practitioner. Health Affairs 23 (2004) 112-118
10. Kristiansen I.S., and Mooney G. Remuneration of GP services: time for more explicit objectives? A review of the systems in five industrialised countries. Health Policy 24 (1993) 203-212
11. Frølich A., Talavera J.A., Broadhead P., and Dudley R.A. A behavioural model of clinician responses to incentives to improve quality. Health Policy 80 (2007) 179-193
12. Rosenthal M.B., and Frank R.G. What is the empirical basis for paying for quality in health care?. Medical Care Research and Review 63 (2006) 135-157
13. Lynch M. The uptake of childhood immunisation and financial incentives to general practitioners. Health Economics 3 (1994) 117-125
14. Town R., Kane R., Johnson P., and Butler M. Economic incentives and physicians' delivery of preventive care. American Journal of Preventive Medicine 28 (2005) 234-240
15. Hughes D., and Yule B. The effect of per-item fees on the behaviour of general practitioners. Journal of Health Economics 11 (1992) 413-437
16. Whynes D.K., and Baynes D.L. Income-based incentives in UK general practice. Health Policy 43 (1998) 15-31
17. Mooney G., and Ryan M. Agency in health care: getting beyond first principles. Journal of Health Economics 12 (1993) 125-138
18. Holmstrom B., and Milgrom P. Multitask principal-agent analyses: incentive contracts, asset ownership and job design. Journal of Law, Economics and Organisation 7 (1991) 24-52
19. Eggleston K. Multitasking and mixed systems for provider payment. Journal of Health Economics 24 (2005) 211-223
20. Birkmeier N.J.O., and Birkmeier J.D. Strategies for improving surgical quality-should payers reward excellence or effort?. The New England Journal of Medicine 354 (2006) 864-870
21. Fiorentini G., Lippi Bruni M., and Ugolini C. Health systems and health reforms in Europe: the case of Italy. Intereconomics: Review of European Economic Policy 43 (2008) 205-212
22. France G., Taroni F., and Donatini A. The Italian health-care system. Health Economics 14 (2005) S187-S202
23. European observatory on health care systems. Health care systems in transition, Italy; 2001.
24. DPPRG-Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 346 (2002) 393-403
25. Beaulieu N, Cutler DM, Ho K, Isham G, Lindquist T, Nelson A, O'Connor P. The business case for diabetes disease management for managed care organizations. Forum for Health Economics & Policy. The Berkley electronic press, 2006;9:1-36.
26. Billings J., Anderson G.M., and Newman L.S. Recent findings on preventable hospitalizations. Health Affairs 15 (1996) 239-249
27. Yuen E.J. Severity of illness and ambulatory care-sensitive conditions. Medical Care Research and Review 61 (2004) 376-391
28. Morris A.D., Boyle D.I.R., McMahon A.D., Greene S.A., MacDonald T.M., and Newton R.W. Adherence to insulin treatment, glycemic control and ketoacidosis in insulin dependent diabetes mellitus. Lancet 350 (1997) 1505-1510
29. Booth G.L., and Fang J. Acute complications of diabetes. In: Hux J., Booth G., Slaughter P., and Laupacis A. (Eds). Diabetes in Ontario: an ICES practice atlas (2003), ICES, Ontario
30. Fitzsimons B., Wilton L., Lamont T., McCulloch L., and Boyce J. The audit commission review of diabetes services in England and Wales: 1998-2001. Diabetic Medicine 19 (2002) 73-78
31. Scott A., and Shiell A. Do fee descriptors influence treatment choices in general practice? A multilevel discrete choice model. Journal of Health Economics 16 (1997) 323-342
32. Rice N., and Jones A. Multilevel models and health economics. Health Economics 6 (1997) 561-575
33. Rasbash J., Browne W., Goldstein H., et al. Guide to MLWIN, VERSION 2.1 (2000), Institute of education, London
34. Browne W.J., Subramanian S.V., Jones K., and Goldstein H. Variance partitioning in multilevel logistic models. Journal of the Royal Statistical Society (2005) 599-613 Series A 168
35. Goldstein H. Multilevel statistical methods. 3rd ed. (2003), Kluwer Academic, London
36. Miller C., Car J., Eldred D., et al. Diabetes prevalence, process of care and outcomes in relation to practice size, caseload and deprivation: national cross-sectional study in primary care. Journal of the Royal Society of Medicine 100 (2007) 275-283
37. Scott A, Schurer S, Jensen PH, Sivey P. The effects of financial incentives on quality of care: the case of diabetes. HEDG Working Paper. University of York; 2008.
38. Sosa-Rubí SG, Galárraga O, López-Ridaura R. Diabetes treatment and control: the impact of public health insurance for the poor in Mexico. INSP Working Paper. Mexico City; 2008.