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[Financial incentives for quality improvement].
Lege Artis Med. 2010 May; 20(5):331-8.LA

Abstract

Policy makers and payers of health care services devote increasing attention to improve quality of services by incentivising health care providers. These--so called--pay for performance (P4P) programmes have so far been introduced in few countries only and evidence on their effectiveness is still scarce. Therefore we do not know yet which instruments of these programmes are most effective and efficient in improving quality. The P4P systems implemented so far in primary care and in integrated delivery systems use indicators for measurement of performance and the basis for rewards. These indicators are mostly process indicators, but there are some outcome indicators as well. The desired quality improvement effects are most likely to be achieved with programmes that provide seizable financial rewards and cover the extra cost of quality improvement efforts as well. Administration of the programme has to be fully transparent and clear to all involved. It has to be based on scientific evidence and supported with sufficient dedicated funding. Conducting pilot studies is a precondition for large scale implementation.

Authors+Show Affiliations

Belicza E
Egészségügyi Menedzserképzo Központ, Budapest/Semmelweis University, Health Services Management Training Centre, Budapest, H-1529 Budapest Pf. 610. belicza@emk.sote.hu
Evetovits T
No affiliation info available

MeSH

Health PolicyHumansHungaryOutcome Assessment, Health CarePatient SatisfactionPhysician Incentive PlansPractice Patterns, Physicians'Primary Health CareProgram DevelopmentProgram EvaluationQuality Assurance, Health CareReimbursement, Incentive

Pub Type(s)

Journal Article

Language

hun

PubMed ID

20533704

Citation

Belicza, Eva, and Tamás Evetovits. "[Financial Incentives for Quality Improvement]." Lege Artis Medicinae : Uj Magyar Orvosi Hirmondo, vol. 20, no. 5, 2010, pp. 331-8.
Belicza E, Evetovits T. [Financial incentives for quality improvement]. Lege Artis Med. 2010;20(5):331-8.
Belicza, E., & Evetovits, T. (2010). [Financial incentives for quality improvement]. Lege Artis Medicinae : Uj Magyar Orvosi Hirmondo, 20(5), 331-8.
Belicza E, Evetovits T. [Financial Incentives for Quality Improvement]. Lege Artis Med. 2010;20(5):331-8. PubMed PMID: 20533704.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Financial incentives for quality improvement]. AU - Belicza,Eva, AU - Evetovits,Tamás, PY - 2010/6/11/entrez PY - 2010/6/11/pubmed PY - 2010/6/18/medline SP - 331 EP - 8 JF - Lege artis medicinae : uj magyar orvosi hirmondo JO - Lege Artis Med VL - 20 IS - 5 N2 - Policy makers and payers of health care services devote increasing attention to improve quality of services by incentivising health care providers. These--so called--pay for performance (P4P) programmes have so far been introduced in few countries only and evidence on their effectiveness is still scarce. Therefore we do not know yet which instruments of these programmes are most effective and efficient in improving quality. The P4P systems implemented so far in primary care and in integrated delivery systems use indicators for measurement of performance and the basis for rewards. These indicators are mostly process indicators, but there are some outcome indicators as well. The desired quality improvement effects are most likely to be achieved with programmes that provide seizable financial rewards and cover the extra cost of quality improvement efforts as well. Administration of the programme has to be fully transparent and clear to all involved. It has to be based on scientific evidence and supported with sufficient dedicated funding. Conducting pilot studies is a precondition for large scale implementation. SN - 0866-4811 UR - https://www.unboundmedicine.com/medline/citation/20533704/[Financial_incentives_for_quality_improvement]_ DB - PRIME DP - Unbound Medicine ER -