메뉴 건너뛰기




Volumn 53, Issue 2, 2015, Pages 106-115

Cost-effectiveness of diabetes pay-for-performance incentive designs

Author keywords

costeffectiveness analysis (CEA); Diabetes pay for performance; incentive designs; incremental cost effectiveness ratios (ICERs); quality adjusted life years (QALYs)

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; COST CONTROL; COST EFFECTIVENESS ANALYSIS; FEMALE; HUMAN; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MIDDLE AGED; NON INSULIN DEPENDENT DIABETES MELLITUS; PAY FOR PERFORMANCE INCENTIVE; PRIORITY JOURNAL; PROGRAM EFFECTIVENESS; PROPENSITY SCORE; QUALITY ADJUSTED LIFE YEAR; QUALITY OF LIFE; QUASI EXPERIMENTAL STUDY; REFERENCE DATABASE; REIMBURSEMENT; TAIWAN; COMPARATIVE STUDY; COST BENEFIT ANALYSIS; DIABETES MELLITUS; ECONOMICS; HEALTH CARE COST; HEALTH CARE QUALITY; PUBLIC HEALTH; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

EID: 84922105303     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0000000000000264     Document Type: Article
Times cited : (33)

References (43)
  • 1
    • 33747112765 scopus 로고    scopus 로고
    • Does pay-for-performance improve the quality of health care?
    • Petersen LA, Woodard LD, Urech T, et al. Does pay-for-performance improve the quality of health care? Ann Int Med. 2006;145:265-272.
    • (2006) Ann Int Med , vol.145 , pp. 265-272
    • Petersen, L.A.1    Woodard, L.D.2    Urech, T.3
  • 2
    • 84884245149 scopus 로고    scopus 로고
    • Achieving the potiential of health care performance measures
    • Available at: Accessed March 3, 2014
    • Berenson R, Pronovost PJ, Krumholz HM. Achieving the potiential of health care performance measures. Timely Analysis of Inmediate Health Policy Issues. 2013. Available at: http://www.urban.org/UploadedPDF/412823-Achieving-the-Potential-of-Health-Care-Performance-Measures. pdf?RSSFeed = UI-HealthPolicyCenter.xml. Accessed March 3, 2014.
    • (2013) Timely Analysis of Inmediate Health Policy Issues
    • Berenson, R.1    Pronovost, P.J.2    Krumholz, H.M.3
  • 3
    • 84867287190 scopus 로고    scopus 로고
    • Health-care reforms in the USA and England: Areas for useful learning
    • Blumenthal D, Dixon J. Health-care reforms in the USA and England: areas for useful learning. Lancet. 2012;380:1352-1357.
    • (2012) Lancet , vol.380 , pp. 1352-1357
    • Blumenthal, D.1    Dixon, J.2
  • 4
    • 84858773262 scopus 로고    scopus 로고
    • Payment incentives and integrated care delivery: Levers for health system reform and cost containment
    • Korda H, Eldridge GN. Payment incentives and integrated care delivery: levers for health system reform and cost containment. Inquiry. 2011;48:277-287.
    • (2011) Inquiry , vol.48 , pp. 277-287
    • Korda, H.1    Eldridge, G.N.2
  • 5
    • 84888236420 scopus 로고    scopus 로고
    • What can the past of pay-for-performance tell us about the future of value-based purchasing in Medicare?
    • Ryan AM, FDamberg CL. What can the past of pay-for-performance tell us about the future of value-based purchasing in Medicare? Healthcare. 2013;1:42-49.
    • (2013) Healthcare , vol.1 , pp. 42-49
    • Ryan, A.M.1    Fdamberg, C.L.2
  • 7
    • 60349083845 scopus 로고    scopus 로고
    • Measuring quality in health care and its implications for pay-for-performance initiatives
    • Chung KC, Shauver MJ. Measuring quality in health care and its implications for pay-for-performance initiatives. Hand Clin. 2009;25: 71-81.
    • (2009) Hand Clin , vol.25 , pp. 71-81
    • Chung, K.C.1    Shauver, M.J.2
  • 8
    • 80053962865 scopus 로고    scopus 로고
    • Pay-for-performance in disease management: A systematic review of the literature
    • de Bruin SR, Baan CA, Struijs JN. Pay-for-performance in disease management: a systematic review of the literature. BMC Health Serv Res. 2011;11:272.
    • (2011) BMC Health Serv Res , vol.11 , pp. 272
    • De Bruin, S.R.1    Baan, C.A.2    Struijs, J.N.3
  • 9
    • 77955778942 scopus 로고    scopus 로고
    • Systematic review: Effects, design choices, and context of pay-for-performance in health care
    • Van Herck P, De Smedt D, Annemans L, et al. Systematic review: effects, design choices, and context of pay-for-performance in health care. BMC Health Serv Res. 2010;10:247.
    • (2010) BMC Health Serv Res , vol.10 , pp. 247
    • Van Herck, P.1    De Smedt, D.2    Annemans, L.3
  • 10
    • 84872317673 scopus 로고    scopus 로고
    • Key issues in the design of pay for performance programs
    • Eijkenaar F. Key issues in the design of pay for performance programs. Eur J Health Econ. 2013;14:117-131.
    • (2013) Eur J Health Econ , vol.14 , pp. 117-131
    • Eijkenaar, F.1
  • 11
    • 84895924623 scopus 로고    scopus 로고
    • Does pay-for-performance improve surgical outcomes? An evaluation of phase 2 of the premier hospital quality incentive demonstration
    • Shih T, Nicholas LH, Thumma JR, et al. Does pay-for-performance improve surgical outcomes? An evaluation of phase 2 of the premier hospital quality incentive demonstration. Ann Surg. 2014;259: 677-681.
    • (2014) Ann Surg , vol.259 , pp. 677-681
    • Shih, T.1    Nicholas, L.H.2    Thumma, J.R.3
  • 12
    • 84876134201 scopus 로고    scopus 로고
    • Effects of pay for performance in health care: A systematic review of systematic reviews
    • Eijkenaar F, Emmert M, Scheppach M, et al. Effects of pay for performance in health care: a systematic review of systematic reviews. Health Policy. 2013;110:115-130.
    • (2013) Health Policy , vol.110 , pp. 115-130
    • Eijkenaar, F.1    Emmert, M.2    Scheppach, M.3
  • 13
    • 77955450705 scopus 로고    scopus 로고
    • Using the lessons of behavioral economics to design more effective pay-for-performance programs
    • Mehrotra A, Sorbero ME, Damberg CL. Using the lessons of behavioral economics to design more effective pay-for-performance programs. Am J Manag Care. 2010;16:497-503.
    • (2010) Am J Manag Care , vol.16 , pp. 497-503
    • Mehrotra, A.1    Sorbero, M.E.2    Damberg, C.L.3
  • 14
    • 84870549235 scopus 로고    scopus 로고
    • Economic evaluation of payfor-performance in health care: A systematic review
    • Emmert M, Eijkenaar F, Kemter H, et al. Economic evaluation of payfor-performance in health care: a systematic review. Eur J Health Econ. 2012;13:755-767.
    • (2012) Eur J Health Econ , vol.13 , pp. 755-767
    • Emmert, M.1    Eijkenaar, F.2    Kemter, H.3
  • 15
    • 84861834916 scopus 로고    scopus 로고
    • Pay-for-performance in the United Kingdom: Impact of the quality and outcomes framework: A systematic review
    • Gillam SJ, Siriwardena AN, Steel N. Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework: a systematic review. Ann Fam Med. 2012;10:461-468.
    • (2012) Ann Fam Med , vol.10 , pp. 461-468
    • Gillam, S.J.1    Siriwardena, A.N.2    Steel, N.3
  • 16
    • 84890565930 scopus 로고    scopus 로고
    • The cost-effectiveness of using financial incentives to improve provider quality: A framework and application
    • Meacock R, Kristensen SR, Sutton M. The cost-effectiveness of using financial incentives to improve provider quality: a framework and application. Health Econ. 2014;23:1-13.
    • (2014) Health Econ , vol.23 , pp. 1-13
    • Meacock, R.1    Kristensen, S.R.2    Sutton, M.3
  • 17
    • 33745243306 scopus 로고    scopus 로고
    • Cost-effectiveness of hospital pay-for-performance incentives
    • Nahra TA, Reiter KL, Hirth RA, et al. Cost-effectiveness of hospital pay-for-performance incentives. Med Care Res Rev. 2006;63(suppl): 49S-72S.
    • (2006) Med Care Res Rev , vol.63 , pp. 49S-72S
    • Nahra, T.A.1    Reiter, K.L.2    Hirth, R.A.3
  • 18
    • 84900382051 scopus 로고    scopus 로고
    • Is a diabetes pay-for-performance program cost-effective under the National Health Insurance in Taiwan?
    • Tan EC, Pwu RF, Chen DR, et al. Is a diabetes pay-for-performance program cost-effective under the National Health Insurance in Taiwan? Qual Life Res. 2014;23:689-698.
    • (2014) Qual Life Res , vol.23 , pp. 689-698
    • Tan, E.C.1    Pwu, R.F.2    Chen, D.R.3
  • 19
    • 84872385934 scopus 로고    scopus 로고
    • Incidence and prevalence rates of diabetes mellitus in Taiwan: Analysis of the, 2000-2009 Nationwide Health Insurance database
    • Jiang YD, Chang CH, Tai TY, et al. Incidence and prevalence rates of diabetes mellitus in Taiwan: analysis of the 2000-2009 Nationwide Health Insurance database. J Formos Med Assoc. 2012;111: 599-604.
    • (2012) J Formos Med Assoc , vol.111 , pp. 599-604
    • Jiang, Y.D.1    Chang, C.H.2    Tai, T.Y.3
  • 20
    • 84922482323 scopus 로고    scopus 로고
    • Administration NHI Available at Accessed February 21, 2014
    • Administration NHI. Annual statistical report for National Health Insurance. 2011. Available at: http://www.nhi.gov.tw. Accessed February 21, 2014.
    • (2011) Annual Statistical Report for National Health Insurance
  • 21
    • 78650970873 scopus 로고    scopus 로고
    • The unintended consequence of diabetes mellitus pay-for-performance (p4p) program in Taiwan: Are patients with more comorbidities or more severe conditions likely to be excluded from the P4P program?
    • Chen TT, Chung KP, Lin I, et al. The unintended consequence of diabetes mellitus pay-for-performance (p4p) program in Taiwan: are patients with more comorbidities or more severe conditions likely to be excluded from the P4P program? Health Serv Res. 2011;46(1p1): 47-60.
    • (2011) Health Serv Res , vol.46 , Issue.1 , pp. 47-60
    • Chen, T.T.1    Chung, K.P.2    Lin, I.3
  • 22
    • 75149157583 scopus 로고    scopus 로고
    • A pay-for-performance program for diabetes care in Taiwan: A preliminary assessment
    • Lee TT, Cheng SH, Chen CC, et al. A pay-for-performance program for diabetes care in Taiwan: a preliminary assessment. Am J Manag Care. 2010;16:65-69.
    • (2010) Am J Manag Care , vol.16 , pp. 65-69
    • Lee, T.T.1    Cheng, S.H.2    Chen, C.C.3
  • 23
    • 84863276890 scopus 로고    scopus 로고
    • Differences in patient reports on the quality of care in a diabetes pay-for-performance program between 1 year enrolled and newly enrolled patients
    • Chen PC, Lee YC, Kuo RN. Differences in patient reports on the quality of care in a diabetes pay-for-performance program between 1 year enrolled and newly enrolled patients. Int J Qual Health Care. 2012;24:189-196.
    • (2012) Int J Qual Health Care , vol.24 , pp. 189-196
    • Chen, P.C.1    Lee, Y.C.2    Kuo, R.N.3
  • 24
    • 84862921548 scopus 로고    scopus 로고
    • A longitudinal examination of a pay-forperformance program for diabetes care: Evidence from a natural experiment
    • Cheng SH, Lee TT, Chen CC. A longitudinal examination of a pay-forperformance program for diabetes care: evidence from a natural experiment. Med Care. 2012;50:109-116.
    • (2012) Med Care , vol.50 , pp. 109-116
    • Cheng, S.H.1    Lee, T.T.2    Chen, C.C.3
  • 25
    • 33947216465 scopus 로고    scopus 로고
    • Care patterns in Medicare and their implications for pay for performance
    • Pham HH, Schrag D, O'Malley AS, et al. Care patterns in Medicare and their implications for pay for performance. N Engl J Med. 2007;356: 1130-1139.
    • (2007) N Engl J Med , vol.356 , pp. 1130-1139
    • Pham, H.H.1    Schrag, D.2    O'Malley, A.S.3
  • 26
    • 38349102796 scopus 로고    scopus 로고
    • Diabetes complications severity index and risk of mortality, hospitalization, and healthcare utilization
    • Young BA, Lin E, Von Korff M, et al. Diabetes complications severity index and risk of mortality, hospitalization, and healthcare utilization. Am J Manag Care. 2008;14:15-23.
    • (2008) Am J Manag Care , vol.14 , pp. 15-23
    • Young, B.A.1    Lin, E.2    Von Korff, M.3
  • 27
    • 0026639706 scopus 로고
    • Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases
    • Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-619.
    • (1992) J Clin Epidemiol , vol.45 , pp. 613-619
    • Deyo, R.A.1    Cherkin, D.C.2    Ciol, M.A.3
  • 28
    • 36448945797 scopus 로고    scopus 로고
    • Chronic illness with complexity: Implications for performance measurement of optimal glycemic control
    • Meduru P, Helmer D, Rajan M, et al. Chronic illness with complexity: implications for performance measurement of optimal glycemic control. J Gen Intern Med. 2007;22(suppl 3):408-418.
    • (2007) J Gen Intern Med , vol.22 , pp. 408-418
    • Meduru, P.1    Helmer, D.2    Rajan, M.3
  • 29
    • 0036102924 scopus 로고    scopus 로고
    • Propensity score-matching methods for nonexperimental causal studies
    • Dehejia RH, Wahba S. Propensity score-matching methods for nonexperimental causal studies. Rev Econ Stat. 2002;84:151-161.
    • (2002) Rev Econ Stat , vol.84 , pp. 151-161
    • Dehejia, R.H.1    Wahba, S.2
  • 30
    • 44649173785 scopus 로고    scopus 로고
    • A critical appraisal of propensity-score matching in the medical literature between, 1996 and 2003
    • Austin PC. A critical appraisal of propensity-score matching in the medical literature between 1996 and 2003. Stat Med. 2008;27: 2037-2049.
    • (2008) Stat Med , vol.27 , pp. 2037-2049
    • Austin, P.C.1
  • 31
    • 53749096863 scopus 로고    scopus 로고
    • 10-year follow-up of intensive glucose control in type 2 diabetes
    • Holman RR, Paul SK, Bethel MA, et al. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359:1577-1589.
    • (2008) N Engl J Med , vol.359 , pp. 1577-1589
    • Holman, R.R.1    Paul, S.K.2    Bethel, M.A.3
  • 32
    • 4644244422 scopus 로고    scopus 로고
    • The estimation of a preference-based measure of health from the SF-12
    • Brazier JE, Roberts J. The estimation of a preference-based measure of health from the SF-12. Med Care. 2004;42:851-859.
    • (2004) Med Care , vol.42 , pp. 851-859
    • Brazier, J.E.1    Roberts, J.2
  • 33
    • 16344381305 scopus 로고    scopus 로고
    • Are decisions using cost-utility analyses robust to choice of SF-36/SF-12 preference-based algorithm?
    • Pickard AS, Wang Z, Walton SM, et al. Are decisions using cost-utility analyses robust to choice of SF-36/SF-12 preference-based algorithm? Health Qual Life Outcomes. 2005;3:11.
    • (2005) Health Qual Life Outcomes , vol.3 , pp. 11
    • Pickard, A.S.1    Wang, Z.2    Walton, S.M.3
  • 34
    • 0036169017 scopus 로고    scopus 로고
    • The estimation of a preference-based measure of health from the SF-36
    • Brazier J, Roberts J, Deverill M. The estimation of a preference-based measure of health from the SF-36. J Health Econ. 2002;21:271-292.
    • (2002) J Health Econ , vol.21 , pp. 271-292
    • Brazier, J.1    Roberts, J.2    Deverill, M.3
  • 37
    • 63849280593 scopus 로고    scopus 로고
    • The limits of cost-effectiveness analysis
    • Weintraub WS, Cohen DJ. The limits of cost-effectiveness analysis. Circulation. 2009;2:55-58.
    • (2009) Circulation , vol.2 , pp. 55-58
    • Weintraub, W.S.1    Cohen, D.J.2
  • 38
    • 84922482291 scopus 로고    scopus 로고
    • Evaluating pay for performace interventions
    • Cromwell J, Trisolini MG, Pope GC, Mitchell JB, Greenwald LM, eds Research Triangle Park, NC: RTI Press Available at Accessed May 15, 2013
    • Cromwell J, Smith KW. Evaluating pay for performace interventions. In: Cromwell J, Trisolini MG, Pope GC, Mitchell JB, Greenwald LM, eds. Pay for Performance in Health Care: Methods and Approaches. Research Triangle Park, NC: RTI Press; 2011. Available at: http://www.rti.org/rtipress. Accessed May 15, 2013.
    • (2011) Pay for Performance in Health Care: Methods and Approaches
    • Cromwell, J.1    Smith, K.W.2
  • 39
    • 67651180816 scopus 로고    scopus 로고
    • Effects of pay for performance on the quality of primary care in England
    • Campbell SM, Reeves D, Kontopantelis E, et al. Effects of pay for performance on the quality of primary care in England. N Engl J Med. 2009;361:368-378.
    • (2009) N Engl J Med , vol.361 , pp. 368-378
    • Campbell, S.M.1    Reeves, D.2    Kontopantelis, E.3
  • 40
    • 64749100503 scopus 로고    scopus 로고
    • Population intermediate outcomes of diabetes under pay-for-performance incentives in England from 2004 to 2008
    • Vaghela P, Ashworth M, Schofield P, et al. Population intermediate outcomes of diabetes under pay-for-performance incentives in England from 2004 to 2008. Diabetes Care. 2009;32:427-429.
    • (2009) Diabetes Care , vol.32 , pp. 427-429
    • Vaghela, P.1    Ashworth, M.2    Schofield, P.3
  • 41
    • 33751245616 scopus 로고    scopus 로고
    • Return on investment in pay for performance: A diabetes case study
    • discussion 375-366
    • Curtin K, Beckman H, Pankow G, et al. Return on investment in pay for performance: a diabetes case study. J Healthc Manag. 2006;51: 365-374; discussion 375-366.
    • (2006) J Healthc Manag , vol.51 , pp. 365-374
    • Curtin, K.1    Beckman, H.2    Pankow, G.3
  • 42
    • 84862912028 scopus 로고    scopus 로고
    • A pay-for-performance program in Taiwan improved care for some diabetes patients, but doctors may have excluded sicker ones
    • Chang RE, Lin SP, Aron DC. A pay-for-performance program in Taiwan improved care for some diabetes patients, but doctors may have excluded sicker ones. Health Aff. 2012;31:93-102.
    • (2012) Health Aff , vol.31 , pp. 93-102
    • Chang, R.E.1    Lin, S.P.2    Aron, D.C.3
  • 43
    • 34249665476 scopus 로고    scopus 로고
    • Which health-related quality of life score? A comparison of alternative utility measures in patients with Type 2 diabetes in the ADVANCE trial
    • Glasziou P, Alexander J, Beller E, et al. Which health-related quality of life score? A comparison of alternative utility measures in patients with Type 2 diabetes in the ADVANCE trial. Health Qual Life Outcomes. 2007;5:21.
    • (2007) Health Qual Life Outcomes , vol.5 , pp. 21
    • Glasziou, P.1    Alexander, J.2    Beller, E.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.