Incentives in primary care and their impact on potentially avoidable hospital admissions

European Journal of Health Economics

Volumn 12, Issue 4, 2011, Pages 297-309

  Fiorentini, Gianluca ^a   Iezzi, Elisa ^a   Bruni, Matteo Lippi ^a,b   Ugolini, Cristina ^a,b  

^a UNIVERSITY OF BOLOGNA   (Italy)

^b UNIVERSITY OF TURIN   (Italy)

Author keywords

Financial incentive; Multilevel modeling; Organizational appropriateness; Preventable hospitalisation; Primary care

Indexed keywords

ADULT; AMBULATORY CARE; ARTICLE; CONTROLLED STUDY; FEMALE; GENERAL PRACTITIONER; GOVERNMENT; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HUMAN; ITALY; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PERSONNEL MANAGEMENT; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RISK ASSESSMENT; AGED; DIAGNOSIS RELATED GROUP; ECONOMICS; EVALUATION; HEALTH SERVICE; HOSPITAL; HOSPITALIZATION; MIDDLE AGED; PRIMARY HEALTH CARE; REIMBURSEMENT; STANDARD; STATISTICS; UTILIZATION REVIEW;

ADULT; AGED; DELIVERY OF HEALTH CARE; DIAGNOSIS-RELATED GROUPS; FEMALE; HEALTH SERVICES; HOSPITALIZATION; HOSPITALS; HUMANS; ITALY; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; REIMBURSEMENT, INCENTIVE;

EID: 80052569259     PISSN: 16187598     EISSN: 16187601     Source Type: Journal    
DOI: 10.1007/s10198-010-0230-x     Document Type: Article

References (28)

1. Lippi Bruni, M., Nobilio, L., Ugolini, C.: Economic incentives in general practice: the impact of pay-for-participation and pay-forcompliance programs on diabetes care. Health Policy 90, 140-148 (2009)
2. Billings, J., Zeitel, L., Lukomnik, J., Carey, T.S., Blank, A.E., Newman, L.: Impact of socioeconomic status on hospital use in New York City. Health Aff. 12, 162-173 (1993) (Pubitemid 23159140)
3. Goldstein, H.: Multilevel statistical methods, 3rd edn. Kluwer, London (2003)
4. Prendergast, C.: The provision of incentives in firms. J. Econ. Lit. 37, 7-63 (1999)
5. Laffont, J.J., Martimort, D.: The theory of incentives: the principal- agent model. Princeton University Press, Princeton (2002)
6. Frey, B.S., Jegen, R.: Motivation crowding out theory: a survey of empirical evidence. J. Econ. Survey 15, 589-611 (2001)
7. Gneezy, U., Rustichini, A.: Pay enough or don't pay at all. Q. J. Econ. 115, 791-810 (2000)
8. Lazear, E.P.: Performance pay and productivity. Amer. Econ. Rev. 90, 1346-1361 (2000)
9. Heckman, J.J., Smith, J.A., Taber, C.: What do bureaucrats do? The effects of performance standards and bureaucratic preferences on acceptance into the JTPA program. NBER working papers 5535 (1996)
10. Lavy, V.: Performance pay and teachers' effort, productivity and grading ethics, NBER working papers 10622 (2004)
11. Dixit, A.: Incentives and organisations in the public sector: an interpretative review. J. Human Res. 37, 696-727 (2002) (Pubitemid 36000165)
12. Smith, P.: On the unintended consequences of publishing performance data in the public sector. Int. J. Public Adm. 18, 277-310 (1995)
13. Goddard, M., Mannion, R., Smith, P.: Enhancing performance in health care: a theoretical perspective on agency and the role of information. Health Econ. 9, 95-107 (2000) (Pubitemid 30148157)
14. Scott, A., Schurer, S., Jensen, P.H., Sivey, P.: The effects of financial incentives on quality of care in diabetes management. Health Econ. 18, 1091-1108 (2009)
15. Cutler, D.M.: The economics of health system payment. Economist 154, 1-18 (2006)
16. Doran, T., Fullwood, C., Gravelle, H., et al.: Pay-for-performance programs in family practices in the United Kingdom. N. Engl. J. Med. 355, 375-384 (2006) (Pubitemid 44127540)
17. Mannion, R., Goddard, M., Bate, A.: Aligning incentives and motivations in health care: the case of earned autonomy. Finan. Acc. Manage. 23, 401-420 (2007)
18. Godager, G., Iversen, T., Ma, A.: Service motives and profit incentives among physicians. Int. J. Health Care Finance Econ. 9, 39-57 (2009)
19. Smith, P.: Measuring health system performance. Eur. J. Health Econ. 3, 145-148 (2002) (Pubitemid 36401997)
20. Olsen K.R., Gyrd-Hansen D., Boegh A., Hartung Hansen S.: GPs as citizens' agents: prescription behavior and altruism. Eur. J. Health Econ. 10, 399-407 (2009)
21. Birkmeier, N.J., Birkmeier, J.D.: Strategies for improving surgical quality-should payers reward excellence or effort? N. Engl. J. Med. 354, 864-870 (2006)
22. Caminal, J., Starfield, B., Sanchez, E., Casanova, C., Morales, M.: The role of primary care in preventing ambulatory care sensitive conditions. Eur. J. Public Health 14, 246-251 (2004) (Pubitemid 39093618)
23. Charlson, M., Pompei, P., Ales, K., McKenzie, C.: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J. Chronic. Dis. 40, 373-378 (1987)
24. Romano, P.S., Roos, L.L., Jollis, J.G.: Adapting a clinical comorbidity index for use with ICD-9-CM administrative data: differing perspectives. J. Clin. Epidemiol. 46, 1075-1079 (1993)
25. Iversen, T., Luras, H.: Economic motives and professional norms: the case of general medical practice. J. Econ. Behav. Organ. 43, 447-470 (2000)
26. Guo, G., Zhao, H.: Multilevel modelling for binary data. Annu. Rev. Sociol. 26, 441-462 (2000)
27. Rasbash, J., Browne, W., Goldstein, H., et al.: Guide to MLWIN, VERSION 2.1. Institute of education, London (2000)
28. Browne, W.J., Subramanian, S.V., Jones, K., Goldstein, H.: Variance partitioning in multilevel logistic models. J. R. Statist. Soc. Series A 168, 599-610 (2005)