메뉴 건너뛰기




Volumn 13, Issue 2, 2013, Pages 188-195

Provider and patient directed financial incentives to improve care and outcomes for patients with diabetes

Author keywords

Behavioral; Diabetes mellitus; Economics; Incentives; Pay for performance; Reimbursement

Indexed keywords

ANTIDIABETIC AGENT;

EID: 84878640164     PISSN: 15344827     EISSN: 15390829     Source Type: Journal    
DOI: 10.1007/s11892-012-0353-9     Document Type: Article
Times cited : (19)

References (48)
  • 1
    • 36549007113 scopus 로고    scopus 로고
    • Asymmetric paternalism to improve health behaviors
    • 18042920 10.1001/jama.298.20.2415 1:CAS:528:DC%2BD2sXhtlyjtbjF A good description of how behavioral economics can be used to help improve health behaviors
    • •• Loewenstein G, Brennan T, Volpp KG. Asymmetric paternalism to improve health behaviors. JAMA. 2007;298:2415-7. A good description of how behavioral economics can be used to help improve health behaviors.
    • (2007) JAMA , vol.298 , pp. 2415-2417
    • Loewenstein, G.1    Brennan, T.2    Volpp, K.G.3
  • 2
    • 0642284005 scopus 로고    scopus 로고
    • Do defaults save lives?
    • 1:CAS:528:DC%2BD3sXptlCqt7k%3D
    • Johnson EJ, Goldstein D. Do defaults save lives? Sci Justice. 2003;302:1338-9.
    • (2003) Sci Justice , vol.302 , pp. 1338-1339
    • Johnson, E.J.1    Goldstein, D.2
  • 3
    • 84878646548 scopus 로고    scopus 로고
    • Behavioral economics
    • Accessed October 10, 2012
    • Thaler RH, Mullainathan S. Behavioral economics. The Concise Encyclopedia of Economics. 2008. Available at: http://www.econlib.org/library/Enc/ BehavioralEconomics.html. Accessed October 10, 2012.
    • (2008) The Concise Encyclopedia of Economics
    • Thaler, R.H.1    Mullainathan, S.2
  • 4
    • 34250200162 scopus 로고    scopus 로고
    • Pay for performance: Learning about quality
    • 17548385
    • Bell CM, Levinson W. Pay for performance: learning about quality. CMAJ. 2007;176:1717-9.
    • (2007) CMAJ , vol.176 , pp. 1717-1719
    • Bell, C.M.1    Levinson, W.2
  • 5
    • 33746468651 scopus 로고    scopus 로고
    • Paying for performance in the United States and abroad
    • 16870921 10.1056/NEJMe068131 1:CAS:528:DC%2BD28XntlSitrs%3D
    • Epstein AM. Paying for performance in the United States and abroad. N Engl J Med. 2006;355:406-8.
    • (2006) N Engl J Med , vol.355 , pp. 406-408
    • Epstein, A.M.1
  • 6
    • 33750482944 scopus 로고    scopus 로고
    • Issues in pay for performance: The case of diabetes self-management
    • 21110488
    • Longo DR, Schubert SL. Issues in pay for performance: the case of diabetes self-management. J Health Care Finance. 2006;33:17-23.
    • (2006) J Health Care Finance , vol.33 , pp. 17-23
    • Longo, D.R.1    Schubert, S.L.2
  • 7
    • 80055110005 scopus 로고    scopus 로고
    • The effect of financial incentives on the quality of health care provided by primary care physicians
    • This Cochrane Review evaluates the impact of different financial interventions on the quality of care delivered by primary care physicians (PCPs). A total of 7 rigorously-designed studies published between 2000-2009 were evaluated; all studies were randomized controlled trials (RCTs), controlled before and after studies (CBA), or interrupted time series analyses (ITS). Three of the studies included diabetes specific metrics
    • •• Scott A, Sivey P, Ait Ouakrim D, et al. The effect of financial incentives on the quality of health care provided by primary care physicians. Cochrane Database of Syst Rev. 2011;9:CD008451. This Cochrane Review evaluates the impact of different financial interventions on the quality of care delivered by primary care physicians (PCPs). A total of 7 rigorously-designed studies published between 2000-2009 were evaluated; all studies were randomized controlled trials (RCTs), controlled before and after studies (CBA), or interrupted time series analyses (ITS). Three of the studies included diabetes specific metrics.
    • (2011) Cochrane Database of Syst Rev , vol.9 , pp. 008451
    • Scott, A.1    Sivey, P.2    Ait Ouakrim, D.3
  • 8
    • 34447319145 scopus 로고    scopus 로고
    • Quality of primary care in England with the introduction of pay for performance
    • 17625132 10.1056/NEJMsr065990 1:CAS:528:DC%2BD2sXnslSjtb0%3D A comprehensive evalaution of England's program including diabetic specific outcomes
    • •• Campbell S, Reeves D, Kontopantelis E, et al. Quality of primary care in England with the introduction of pay for performance. N Engl J Med. 2007;357:181-90. A comprehensive evalaution of England's program including diabetic specific outcomes.
    • (2007) N Engl J Med , vol.357 , pp. 181-190
    • Campbell, S.1    Reeves, D.2    Kontopantelis, E.3
  • 9
    • 84878654867 scopus 로고    scopus 로고
    • NHS website Accessed October 2, 2012
    • NHS website. Available at: http://www.qof.ic.nhs.uk/. Accessed October 2, 2012.
  • 10
    • 33746384604 scopus 로고    scopus 로고
    • Pay-for-performance programs in family practices in the United Kingdom
    • 16870916 10.1056/NEJMsa055505 1:CAS:528:DC%2BD28XntlSjsbg%3D
    • Doran T, Fullwood C, Gravelle H, et al. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med. 2006;355:375-84.
    • (2006) N Engl J Med , vol.355 , pp. 375-384
    • Doran, T.1    Fullwood, C.2    Gravelle, H.3
  • 11
    • 84878663112 scopus 로고    scopus 로고
    • Accessed October 2, 2012
    • Quality and outcomes framework for 2012/13. Available at: http://www.nhsemployers.org/Aboutus/Publications/Documents/QOF-2012-13.pdf. Accessed October 2, 2012.
    • Quality and Outcomes Framework for 2012/13
  • 12
    • 27744556720 scopus 로고    scopus 로고
    • Improvements in quality of clinical care in english general practice 1998-2003: Longitudinal observational study
    • 16257992 10.1136/bmj.38632.611123.AE
    • Campbell SM, Roland MO, Middleton E, Reeves D. Improvements in quality of clinical care in english general practice 1998-2003: longitudinal observational study. BMJ. 2005;331:1121.
    • (2005) BMJ , vol.331 , pp. 1121
    • Campbell, S.M.1    Roland, M.O.2    Middleton, E.3    Reeves, D.4
  • 13
    • 64749100503 scopus 로고    scopus 로고
    • Population intermediate outcomes of diabetes under pay-for-performance incentives in England from 2004 to 2008
    • 19106379 10.2337/dc08-1999 An evaluation of diabetes-specific outcome metrics for 98 % of all English family practices. There was an improvement in all metrics after the initiation of QOF; however, data was only analyzed from 2004-2007, limiting the analysis
    • • Vaghela P, Ashwort M, Schofield P, Gulliford MC. Population intermediate outcomes of diabetes under pay-for-performance incentives in England from 2004 to 2008. Diabetes Care. 2009;32:427-9. An evaluation of diabetes-specific outcome metrics for 98 % of all English family practices. There was an improvement in all metrics after the initiation of QOF; however, data was only analyzed from 2004-2007, limiting the analysis.
    • (2009) Diabetes Care , vol.32 , pp. 427-429
    • Vaghela, P.1    Ashwort, M.2    Schofield, P.3    Gulliford, M.C.4
  • 14
    • 84878643105 scopus 로고    scopus 로고
    • Time series analysis for selected clinical indicators from the quality and outcomes framework 2001-2006'
    • Accessed October 2, 2012
    • Hippisley-Cox J, Vinogradova Y, Coupland C. Time series analysis for selected clinical indicators from the quality and outcomes framework 2001-2006', final report for the information centre, version 1.1, R22 HSCIC (2007). Available at: http://www.qresearch.org/Public-Documents/ Time%20Series%20Analysis%20for%20selected%20clinical.pdf. Accessed October 2, 2012.
    • (2007) Final Report for the Information Centre, Version 1.1, R22 HSCIC
    • Hippisley-Cox, J.1    Vinogradova, Y.2    Coupland, C.3
  • 15
    • 77957359988 scopus 로고    scopus 로고
    • Impact of a pay-for-performance incentive scheme on age, sex, and socioeconomic disparities in diabetes management in UK primary care
    • Hamilton FL, Bottle A, Vamos EP, et al. Impact of a pay-for-performance incentive scheme on age, sex, and socioeconomic disparities in diabetes management in UK primary care. J Ambul Care Manag. 2010;33:336-49.
    • (2010) J Ambul Care Manag , vol.33 , pp. 336-349
    • Hamilton, F.L.1    Bottle, A.2    Vamos, E.P.3
  • 16
    • 62749167043 scopus 로고    scopus 로고
    • Impact of pay for performance on quality of chronic disease management by social class group in England
    • 10.1258/jrsm.2009.080389
    • Crawley D, Ng A, Mainous AG, Majeed A, Millett C. Impact of pay for performance on quality of chronic disease management by social class group in England. JR Soc Med. 2009;102:103-7.
    • (2009) JR Soc Med , vol.102 , pp. 103-107
    • Crawley, D.1    Ng, A.2    Mainous, A.G.3    Majeed, A.4    Millett, C.5
  • 17
    • 34347235863 scopus 로고    scopus 로고
    • Ethnic disparities in diabetes management and pay-for-performance in the UK: The Wandsworth prospective diabetes study
    • 17564486 10.1371/journal.pmed.0040191
    • Millett C, Gray J, Saxena S, et al. Ethnic disparities in diabetes management and pay-for-performance in the UK: the Wandsworth prospective diabetes study. PLoS Med. 2007;4:e191.
    • (2007) PLoS Med , vol.4 , pp. 191
    • Millett, C.1    Gray, J.2    Saxena, S.3
  • 18
    • 70049097907 scopus 로고    scopus 로고
    • Pay for perfomance and the quality of diabetes management in individuals with and without co-morbid medical conditions
    • 10.1258/jrsm.2009.090171
    • Millett C, Bottle A, Ng A, et al. Pay for perfomance and the quality of diabetes management in individuals with and without co-morbid medical conditions. JR Soc Med. 2009;102:369-77.
    • (2009) JR Soc Med , vol.102 , pp. 369-377
    • Millett, C.1    Bottle, A.2    Ng, A.3
  • 19
    • 36549041384 scopus 로고    scopus 로고
    • Quality of diabetes care in patients with schizophrenia and bipolar disorder: Cross-sectional study
    • 18042084 10.1111/j.1464-5491.2007.02324.x 1:STN:280: DC%2BD2sjgsFCrtA%3D%3D
    • Whyte S, Penny C, Phelan M, Hippisley-Cox J, Majeed A. Quality of diabetes care in patients with schizophrenia and bipolar disorder: Cross-sectional study. Diabet Med. 2007;24:1442-8.
    • (2007) Diabet Med , vol.24 , pp. 1442-1448
    • Whyte, S.1    Penny, C.2    Phelan, M.3    Hippisley-Cox, J.4    Majeed, A.5
  • 21
  • 22
    • 33646767853 scopus 로고    scopus 로고
    • Impact of pay-for-performance contracts and network registry on diabetes and asthma hedis measures in an integrated delivery network
    • 16688922 10.1177/1077558705284057
    • Levin-Scherz J, DeVita N, Timbie J. Impact of pay-for-performance contracts and network registry on diabetes and asthma hedis measures in an integrated delivery network. Med Care Res Rev. 2006;63(1 Suppl):14S-28.
    • (2006) Med Care Res Rev , vol.63 , Issue.1 SUPPL.
    • Levin-Scherz, J.1    Devita, N.2    Timbie, J.3
  • 23
    • 84870263867 scopus 로고    scopus 로고
    • Payer-provider collaboration in accountable care reduced use and improved quality in Maine medicare advantage plan
    • 10.1377/hlthaff.2011.1141
    • Claffey TF, Agostini JV, Collet EN, Reisman L, Krakauer R. Payer-provider collaboration in accountable care reduced use and improved quality in Maine medicare advantage plan. Heal Aff. 2012;31:2074-83.
    • (2012) Heal Aff , vol.31 , pp. 2074-2083
    • Claffey, T.F.1    Agostini, J.V.2    Collet, E.N.3    Reisman, L.4    Krakauer, R.5
  • 24
    • 26444574824 scopus 로고    scopus 로고
    • Early experience with pay-for-performance: From concept to practice
    • 16219882 10.1001/jama.294.14.1788 1:CAS:528:DC%2BD2MXhtFWgsLrF
    • Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance: From concept to practice. JAMA. 2005;294:1788-93.
    • (2005) JAMA , vol.294 , pp. 1788-1793
    • Rosenthal, M.B.1    Frank, R.G.2    Li, Z.3    Epstein, A.M.4
  • 25
    • 77952314286 scopus 로고    scopus 로고
    • The effect of a PPO pay-for-performance program on patients with diabetes
    • 20059287
    • Chen JY, Tian H, Taira Juarez D, et al. The effect of a PPO pay-for-performance program on patients with diabetes. Am J Manag Care. 2010;16:e11-9.
    • (2010) Am J Manag Care , vol.16 , pp. 11-19
    • Chen, J.Y.1    Tian, H.2    Taira Juarez, D.3
  • 26
    • 34248584685 scopus 로고    scopus 로고
    • Effects of paying physicians based on their relative performance for quality
    • 17443360 10.1007/s11606-007-0185-5
    • Young G, Meterko M, Beckman H, et al. Effects of paying physicians based on their relative performance for quality. J Gen Intern Med. 2007;22:872-6.
    • (2007) J Gen Intern Med , vol.22 , pp. 872-876
    • Young, G.1    Meterko, M.2    Beckman, H.3
  • 27
    • 38049098222 scopus 로고    scopus 로고
    • The impact of pay-for-performance on diabetes care in a large network of community health centers
    • 17982218 10.1353/hpu.2007.0090
    • Coleman K, Reiter KL, Fulwiler D. The impact of pay-for-performance on diabetes care in a large network of community health centers. J Health Care Poor Underserved. 2007;18:966-83.
    • (2007) J Health Care Poor Underserved , vol.18 , pp. 966-983
    • Coleman, K.1    Reiter, K.L.2    Fulwiler, D.3
  • 28
    • 84878646491 scopus 로고    scopus 로고
    • Accessed October 2, 2012
    • CMS Fact Sheet. Available at: http://www.ntocc.org/Portals/0/PDF/ Attachments/PublicPolicyUpdates/FSV-MPFS-2013-NPRM-20120706.pdf. Accessed October 2, 2012.
    • CMS Fact Sheet
  • 29
    • 84858320018 scopus 로고    scopus 로고
    • Peer mentoring and financial incentives to improve glucose control in African American veterans: A randomized trial
    • 22431674 Only published randomized control trial evaluating financial incentives to improve diabetic outcomes
    • • Long JA, Jahnle EC, Richardson DM, Loewenstein G, Volpp KG. Peer mentoring and financial incentives to improve glucose control in African American veterans: A randomized trial. Ann Intern Med. 2012;156:416-24. Only published randomized control trial evaluating financial incentives to improve diabetic outcomes.
    • (2012) Ann Intern Med , vol.156 , pp. 416-424
    • Long, J.A.1    Jahnle, E.C.2    Richardson, D.M.3    Loewenstein, G.4    Volpp, K.G.5
  • 30
    • 79959596952 scopus 로고    scopus 로고
    • The effect of patient reminders and gas station gift cards on patient adherence to testing guidelines for diabetes
    • 21748998
    • Austin S, Wolfe BL. The effect of patient reminders and gas station gift cards on patient adherence to testing guidelines for diabetes. WMJ. 2011;110:132-7.
    • (2011) WMJ , vol.110 , pp. 132-137
    • Austin, S.1    Wolfe, B.L.2
  • 31
    • 78650718868 scopus 로고    scopus 로고
    • Internet-based contingency management to improve adherence with blood glucose testing recommendations for teens with type 1 diabetes
    • 21358907 10.1901/jaba.2010.43-487
    • Raiff BR, Dallery J. Internet-based contingency management to improve adherence with blood glucose testing recommendations for teens with type 1 diabetes. J Appl Behav Anal. 2010;43:487-91.
    • (2010) J Appl Behav Anal , vol.43 , pp. 487-491
    • Raiff, B.R.1    Dallery, J.2
  • 33
    • 84860136615 scopus 로고    scopus 로고
    • Bariatric surgery vs intensive medical therapy in obese patients with diabetes
    • 22449319 10.1056/NEJMoa1200225 1:CAS:528:DC%2BC38Xmt1OrsL8%3D
    • Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery vs intensive medical therapy in obese patients with diabetes. New Engl J Med. 2012;366:1567-76.
    • (2012) New Engl J Med , vol.366 , pp. 1567-1576
    • Schauer, P.R.1    Kashyap, S.R.2    Wolski, K.3
  • 34
    • 84858702540 scopus 로고    scopus 로고
    • The worldwide epidemiology of type 2 diabetes mellitus- present and future perspectives
    • 10.1038/nrendo.2011.183 1:CAS:528:DC%2BC38Xkt1Chs70%3D
    • Chen L, Magliano DJ, Zimmet PZ. The worldwide epidemiology of type 2 diabetes mellitus- present and future perspectives. Nat Rev Endocrinol. 2012;8:228-36.
    • (2012) Nat Rev Endocrinol , vol.8 , pp. 228-236
    • Chen, L.1    Magliano, D.J.2    Zimmet, P.Z.3
  • 35
    • 84859419232 scopus 로고    scopus 로고
    • Bariatric surgery vs conventional medical therapy for type 2 diabetes
    • 22449317 10.1056/NEJMoa1200111 1:CAS:528:DC%2BC38Xmt1Orsbk%3D
    • Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Leccesi L, et al. Bariatric surgery vs conventional medical therapy for type 2 diabetes. New Engl J Med. 2012;366:1577-85.
    • (2012) New Engl J Med , vol.366 , pp. 1577-1585
    • Mingrone, G.1    Panunzi, S.2    De Gaetano, A.3    Guidone, C.4    Iaconelli, A.5    Leccesi, L.6
  • 36
    • 57449113601 scopus 로고    scopus 로고
    • Financial incentive-based approaches for weight loss: A randomized trial
    • 19066383 10.1001/jama.2008.804 1:CAS:528:DC%2BD1cXhsV2qtrfE A randomized control trial of 2 different incentive structures both of which led to greater weight loss than usual care
    • •• Volpp KG, John L, Troxel AB, et al. Financial incentive-based approaches for weight loss: A randomized trial. JAMA. 2008;300:2631-7. A randomized control trial of 2 different incentive structures both of which led to greater weight loss than usual care.
    • (2008) JAMA , vol.300 , pp. 2631-2637
    • Volpp, K.G.1    John, L.2    Troxel, A.B.3
  • 38
    • 0033629395 scopus 로고    scopus 로고
    • Long-term maintenance of weight loss: Current status
    • 10709944 10.1037/0278-6133.19.Suppl1.5 1:STN:280:DC%2BD3c7ntlWkug%3D%3D
    • Jeffery RW, Drewnowski A, Epstein LH, et al. Long-term maintenance of weight loss: current status. Health Psychol. 2000;19(1 Suppl):5-16.
    • (2000) Health Psychol , vol.19 , Issue.1 SUPPL. , pp. 5-16
    • Jeffery, R.W.1    Drewnowski, A.2    Epstein, L.H.3
  • 39
    • 12444271012 scopus 로고    scopus 로고
    • Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain
    • 15655039 10.1111/j.1467-789X.2005.00170.x 1:STN:280: DC%2BD2M%2FivVOnsQ%3D%3D
    • Elfhag K, Rössner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005;6:67-85.
    • (2005) Obes Rev , vol.6 , pp. 67-85
    • Elfhag, K.1    Rössner, S.2
  • 40
    • 4644245424 scopus 로고    scopus 로고
    • Linking physicians' pay to the quality of care- A major experiment in the United Kindgrom
    • 15459308 10.1056/NEJMhpr041294 1:CAS:528:DC%2BD2cXotVOrsLs%3D
    • Roland M. Linking physicians' pay to the quality of care- A major experiment in the United Kindgrom. N Engl J Med. 2004;351:1448-54.
    • (2004) N Engl J Med , vol.351 , pp. 1448-1454
    • Roland, M.1
  • 41
    • 77949532221 scopus 로고    scopus 로고
    • Patients as mercenaries? the ethics of using financial incentives in the war on unhealthy behaviors
    • 20031885 10.1161/CIRCOUTCOMES.109.871855 A good discussion of the ethical concerns raised by fiancial incentives for patients
    • • Halpern SD, Madison KM, Volpp KG. Patients as mercenaries? The ethics of using financial incentives in the war on unhealthy behaviors. Circ Cardiovasc Qual Outcomes. 2009;2:514-6. A good discussion of the ethical concerns raised by fiancial incentives for patients.
    • (2009) Circ Cardiovasc Qual Outcomes , vol.2 , pp. 514-516
    • Halpern, S.D.1    Madison, K.M.2    Volpp, K.G.3
  • 43
    • 77953954327 scopus 로고    scopus 로고
    • The impact of removing financial incentives from clinical quality indicators: Longitudinal analysis of 4 Kaiser Permanente indicators
    • 20460330 10.1136/bmj.c1898
    • Lester H, Schmittdiel J, Selby J, et al. The impact of removing financial incentives from clinical quality indicators: longitudinal analysis of 4 Kaiser Permanente indicators. BMJ. 2010;340:c1898.
    • (2010) BMJ , vol.340 , pp. 1898
    • Lester, H.1    Schmittdiel, J.2    Selby, J.3
  • 44
    • 33747838050 scopus 로고    scopus 로고
    • Personal responsibility and physician responsibility-West Virginia's medicaid plan
    • 16928992 10.1056/NEJMp068170 1:CAS:528:DC%2BD28Xos1KmtrY%3D
    • Bishop G, Brodkey AC. Personal responsibility and physician responsibility-West Virginia's medicaid plan. N Engl J Med. 2006;355:756-8.
    • (2006) N Engl J Med , vol.355 , pp. 756-758
    • Bishop, G.1    Brodkey, A.C.2
  • 45
    • 34547757968 scopus 로고    scopus 로고
    • Is it acceptable for people to be paid to adhere to medication? No
    • 17673765 10.1136/bmj.39286.422639.BE
    • Shaw J. Is it acceptable for people to be paid to adhere to medication? No. BMJ. 2007;335:233.
    • (2007) BMJ , vol.335 , pp. 233
    • Shaw, J.1
  • 46
    • 0742306363 scopus 로고    scopus 로고
    • Libertarian paternalism is not an oxymoron
    • 10.2307/1600573
    • Sunstein CA, Thaler RH. Libertarian paternalism is not an oxymoron. Chic Law Rev. 2003;70:1159-202.
    • (2003) Chic Law Rev , vol.70 , pp. 1159-1202
    • Sunstein, C.A.1    Thaler, R.H.2
  • 47
    • 51649091098 scopus 로고    scopus 로고
    • Patient opinions regarding 'pay for performance for patients'
    • 18663540 10.1007/s11606-008-0739-1
    • Long JA, Helweg-Larsen M, Volpp KG. Patient opinions regarding 'pay for performance for patients'. J Gen Intern Med. 2008;23:1647-52.
    • (2008) J Gen Intern Med , vol.23 , pp. 1647-1652
    • Long, J.A.1    Helweg-Larsen, M.2    Volpp, K.G.3
  • 48
    • 66749141014 scopus 로고    scopus 로고
    • Financial penalties for the unhealthy? Ethical guidelines for holding employees responsible for their health
    • 10.1377/hlthaff.28.3.845
    • Pearson SD, Lieber SR. Financial penalties for the unhealthy? Ethical guidelines for holding employees responsible for their health. Heal Aff. 2009;28:845-52.
    • (2009) Heal Aff , vol.28 , pp. 845-852
    • Pearson, S.D.1    Lieber, S.R.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.