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British Columbia's pay-for-performance experiment: Part of the solution to reduce emergency department crowding?

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  • Cheng, Amy H.Y.
  • Sutherland, Jason M.

Abstract

Emergency department (ED) overcrowding continues to be a well-publicized problem in a number of countries. In British Columbia, a province in Canada, an ED pay-for-performance (ED P4P) program was initiated in 2007 to create financial incentives for hospitals to reduce patients’ ED length of stay (ED LOS). This study's objectives are to determine if the ED P4P program is associated with decreases in ED LOS, and to address the ED P4P program's limitations.

Suggested Citation

  • Cheng, Amy H.Y. & Sutherland, Jason M., 2013. "British Columbia's pay-for-performance experiment: Part of the solution to reduce emergency department crowding?," Health Policy, Elsevier, vol. 113(1), pages 86-92.
    • Handle: RePEc:eee:hepoli:v:113:y:2013:i:1:p:86-92
    DOI: 10.1016/j.healthpol.2013.07.010
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    References listed on IDEAS

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    1. Moreno-Serra, Rodrigo & Wagstaff, Adam, 2010. "System-wide impacts of hospital payment reforms: Evidence from Central and Eastern Europe and Central Asia," Journal of Health Economics, Elsevier, vol. 29(4), pages 585-602, July.
    2. Reinhard Busse & Jonas Schreyögg & Peter Smith, 2006. "Editorial: Hospital case payment systems in Europe," Health Care Management Science, Springer, vol. 9(3), pages 211-213, August.
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    Cited by:

    1. Casagranda, Ivo & Costantino, Giorgio & Falavigna, Greta & Furlan, Raffaello & Ippoliti, Roberto, 2016. "Artificial Neural Networks and risk stratification models in Emergency Departments: The policy maker's perspective," Health Policy, Elsevier, vol. 120(1), pages 111-119.
    2. Milstein, Ricarda & Schreyoegg, Jonas, 2016. "Pay for performance in the inpatient sector: A review of 34 P4P programs in 14 OECD countries," Health Policy, Elsevier, vol. 120(10), pages 1125-1140.

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