The powers and pitfalls of payment for performance

Health Economics

Volumn 21, Issue 1, 2012, Pages 3-12

  Maynard, Alan ^a  

^a UNIVERSITY OF YORK   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COST EFFECTIVENESS ANALYSIS; HEALTH CARE; HEALTH CARE INDUSTRY; HEALTH CARE POLICY; HEALTH ECONOMICS; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; MEDICAL TECHNOLOGY; MORBIDITY; MORTALITY; PERFORMANCE; PRIORITY JOURNAL; QUALITY CONTROL; TREATMENT OUTCOME;

COMPARATIVE EFFECTIVENESS RESEARCH; COST-BENEFIT ANALYSIS; EFFICIENCY, ORGANIZATIONAL; HUMANS; MOTIVATION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); QUALITY OF HEALTH CARE; REIMBURSEMENT, INCENTIVE;

EID: 82955176939     PISSN: 10579230     EISSN: 10991050     Source Type: Journal    
DOI: 10.1002/hec.1810     Document Type: Article

References (52)

1. Appleby J, Raleigh V, Frosini F, Bevan G, Gao H, Lyscom T,. 2011. Variations in health care: the good, the bad and the inexplicable. King's Fund. Available at [accessed 2 August 2011]
2. Ashraf N, Camerer CF, Loewenstein G,. 2005. Adam Smith, behavioural economist. Journal of Economic Perspectives 19 (3): 131-145.
3. nd August 2011].
4. Baicker K, Finkelstein A,. 2011. The effects of Medicaid coverage: learning from the Oregon experiment. New England Journal of Medicine 365: 683-685.
5. Bloor MJ, Venters GA, Sampier, ML,. 1977. Geographical variations in the incidence of operations on tonsils and adenoids. Journal of Laryngology Otol 92: 791-801 (part 1) and 92: 883-5 (part 2)
6. Bristol Royal Infirmary Inquiry. 2001. Learning from Bristol. Cm 5207, London.
7. British Medical Journal Evidence Centre. 2011. Clinical Evidence Handbook. BMJ Publishing Group: London.
8. Cawley J, Price JA,. 2011. Outcomes in a program that offers financial rewards foe weight loss. In Economics of Obesity, Grossman M, Mocan N, (eds). National Bureau of Economic Research, University of Chicago Press: Chicago and London.
9. Cochrane AL,. 1972. Effectiveness and Efficiency: Random Reflections on Health Services Research. Nuffield Provincial Hospitals Trust: London.
10. Cromwell J, Trisolini MG, Pope GC, Mitchell JB, Greenwald LM, (eds). 2011. Pay for Performance in Health Care: Methods and Approaches. Research Triangle Press: North Carolina.
11. Culyer AJ, Rawlins MD,. 2004. National Institute for Clinical Excellence and its value judgments. BMJ 329: 224.
12. Department of Health. 2009. Guidance on the routine collection of Patient Reported Outcome Measures (PROMs). Available at [accessed 2 August 2011].
13. Doran TT, Fullwood C, Gravelle H, Reeves D, Kontopantelis E, Hiroeh U, Roland M,. 2006. Pay-for-performance programs in family practices in the United Kingdom. New England Journal of Medicine 355 (4): 375-384.
14. Doran T, Kontopantelis E, Valderas JM, Campbell S, Roland M, Salisbury C, Reeves D,. 2011. Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework. British Medical Journal 342: d3590.
15. Ellis J, Mulligan I, Rowe J, Sackett DL,. 1995. Inpatient general medicine is evidence based. Lancet 346 (8972): 407-410.
16. Fisher E,. 2003. Medical care: is more always better? New England Journal of Medicine 349: 1665-1667.
17. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL,. 2003a. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Annals of Internal Medicine 18; 138: 273-287.
18. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL,. 2003b. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Annals of Internal Medicine 138: 288-298.
19. Fleetcroft R, Cookson R,. 2006. Do the incentive payments in the new NHS contract for primary care reflect likely population health gains? Journal of Health Services Research & Policy 11: 27-31.
20. Fuchs VR,. 1974. Who Shall Live? Health, Economics and Social Choice. Basic books: New York.
21. Glover JA,. 1938. The incidence of tonsillectomy in school children. Journal of the Royal Society of Medicine 31: 1219-1236.
22. Gravelle H, Sutton M, Ma A,. 2010. Doctor behaviour under a pay for performance contract: treating, cheating and case finding? The Economic Journal 120: 129-156.
23. Grossbart S,. 2006. What's the return? Assessing the effect of "pay for performance" initiatives on the quality of care delivery. Medical Care Research and Review 63: 29S-48S
24. Hibbard JH, Stockard J, Tusler, M,. 2005. Hospital performance reports: impact on quality, market share and reputation. Health Affairs 24 (4): 1150-1160.
25. Hsiao WC,. 2011. State based single payer health care: a solution for the United States? New England Journal of Medicine 364 (13): 1188-1190.
26. Kahneman D, Tversky A,. 1979. Prospect theory: an analysis of decision making under risk. Econometrica 42 (2): 263-291
27. Kohn LT, Corrigan JM, Donaldson MS, (eds). 2000. To Err is Human. Institute of Medicine: Washington, DC.
28. Lindenauer PK, Remus D, Roman S, Rothberg MB, Benjamin EM, Ma A, Bratzler DW,. 2007. Public reporting and pay for performance in hospital quality improvement. New England Journal of Medicine 356: 486-496.
29. Lunacy Act. 1845. Vic 89, House of Commons, London.
30. Mao T-T,. 1966. Quotations from Chairman Mao Tse-Tung. Foreign Languages Press: Peking.
31. Maynard A,. 1997. Evidence based medicine: an incomplete method for informing treatment choices. Lancet 349: 126-128.
32. Maynard A, Chalmers I, (eds). 1997, Non-Random Reflections on Health Services Research. BMJ Publishing Group: London.
33. Maynard A, Street A, Hunter R,. 2011. Using 'payment by results' to fund the treatment of dependent drug users-proceed with care! Addiction 106 (10): 1725-1729.
34. Mehrotra A, Damberg CL, Sorbero MES, Teleki SS,. 2009. Pay for performance in the hospital setting: what is the state of the evidence? American Journal of Medical Quality 24: 19-28.
35. Nightingale F,. 1863. Some Notes on Hospitals (3rd edn). Longman, Green, Longman, Roberts and Green: London.
36. O'Neill O,. 2002. A question of trust. Reith Lectures. Available at [accessed 2 August 2011].
37. Percival T,. 1803. Medical Ethics or a Code of Institutes and Precepts Adopted to the Professional Conduct of Physicians and Surgeons. S. Russell: Manchester.
38. Reinhardt UE,. 1982. Table manners at the health care feast. In Financing Health Care: Competition Versus Regulation, Yaggy D, Anylan WA, (eds). Ballinger: Cambridge, Mass.
39. Ryan AM,. 2009. Effects of the Premier Hospital Quality Incentive Demonstration on Medicare patient mortality and cost. Health Services Research 44: 821-842.
40. Sackett DL, Rosenberg WMC,. 1995. On the need for evidence based medicine. Health Economics 4: 249-254.
41. Seramuga B, Ross-Degnan D, Avery AJ, Elliot RA, Majumdar SR, Zhang F, Soumerai SA,. 2011. Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study. British Medical Journal 342: d108.
42. Sindelar JL,. 2008. Paying for performance: the power of incentives over habits. Health Economics 17 (4): 449-451.
43. Smith A,. 1759. A Theory of Moral Sentiments. Penguin: London.
44. Stewardson A, Pittet, D,. 2011. Ignac Semmelweis: celebrating a flawed pioneer of patient safety. Lancet 378 (9785): 22-23.
45. Syverson C,. 2011. What determines productivity? Journal of Economic Literature XLIX (2): 326-365.
46. Wennberg JE,. 2008. Commentary: a debt of gratitude to J Alison Glover. International Journal of Epidemiology 371: 26-29.
47. Wennberg JE,. 2010. Tracking Medicine: A researcher's Quest to Understand Health Care. Oxford University Press: New York
48. Wennberg J, Gittelsohn A,. 1973. Small area variations in health care delivery: a population based health information system can guide planning and regulatory decision making. Science 182: 1102-1108
49. Wennberg JE, Freeman JL, Culp WJ,. 1987. Are hospital services rationed in New Haven or over-utilised in Boston? Lancet I (8543): 1185-1188.
50. Wennberg JE, Freeman JL, Shelton RH, Baubolz TA,. 1989. Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. New England Journal of Medicine 321: 1168-1173.
51. Werner RM, Kolstad JT, Stuart EA, Polsky D,. 2011. The effect of pay-for-performance in hospitals: lessons for quality improvement. Health Affairs 30 (4): 690-698.
52. Williams A,. 1972. Cost benefit analysis: bastard science and/or insidious poison in the body politick. Journal of Public Economics 1 (2): 199-225.