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The effectiveness of a pay for performance program on diabetes care in Taiwan: A nationwide population-based longitudinal study

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  • Lin, Tzu-Yu
  • Chen, Chia-Yu
  • Huang, Yu Tang
  • Ting, Ming-Kuo
  • Huang, Jui-Chu
  • Hsu, Kuang-Hung

Abstract

Over the past two decades, studies have widely examined the effectiveness of pay-for-performance (P4P) programs by conducting biochemical tests and assessing complications; however, the reported effectiveness of such programs among participants selected through purposeful sampling is controversial. Therefore, the objective of the current study was to analyze the effectiveness of a P4P program on patients’ prognoses, including hospitalization for chronic diabetic complications, and all-cause mortality during specific follow-up years by using a nationwide population-based database in Taiwan. Based on 125,315 newly diagnosed type 2 diabetes patient cohort during 2002–2006, two control sets were designed by propensity-score-matching strategy according to participation of P4P program and followed up to 2012. The results indicated that full participants demonstrated the lowest risks of developing complications and all-cause mortality compared with nonparticipants. These findings confirm the long-term effect of P4P programs on full participants and reveal that this effect is not due to confounding variables. The results indicate the importance of performance management and adherence to interventions for patients with chronic diseases in a long-term observation. Comprehensive and continuous care is suggested to improve patient prognosis and quality of care.

Suggested Citation

  • Lin, Tzu-Yu & Chen, Chia-Yu & Huang, Yu Tang & Ting, Ming-Kuo & Huang, Jui-Chu & Hsu, Kuang-Hung, 2016. "The effectiveness of a pay for performance program on diabetes care in Taiwan: A nationwide population-based longitudinal study," Health Policy, Elsevier, vol. 120(11), pages 1313-1321.
    • Handle: RePEc:eee:hepoli:v:120:y:2016:i:11:p:1313-1321
    DOI: 10.1016/j.healthpol.2016.09.014
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    References listed on IDEAS

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    1. Fairbrother, G. & Hanson, K.L. & Friedman, S. & Butts, G.C., 1999. "The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates," American Journal of Public Health, American Public Health Association, vol. 89(2), pages 171-175.
    2. Eijkenaar, Frank & Emmert, Martin & Scheppach, Manfred & Schöffski, Oliver, 2013. "Effects of pay for performance in health care: A systematic review of systematic reviews," Health Policy, Elsevier, vol. 110(2), pages 115-130.
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    Cited by:

    1. Thaksha Thavam & Rose Anne Devlin & Amardeep Thind & Gregory S. Zaric & Sisira Sarma, 2020. "The impact of the diabetes management incentive on diabetes-related services: evidence from Ontario, Canada," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(9), pages 1279-1293, December.
    2. Jui-fen Rachel Lu & Ying Isabel Chen & Karen Eggleston & Chih-Hung Chen & Brian Chen, 2023. "Assessing Taiwan’s pay-for-performance program for diabetes care: a cost–benefit net value approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(5), pages 717-733, July.
    3. Tzani, Dimitra & Stavrakas, Vassilis & Santini, Marion & Thomas, Samuel & Rosenow, Jan & Flamos, Alexandros, 2022. "Pioneering a performance-based future for energy efficiency: Lessons learnt from a comparative review analysis of pay-for-performance programmes," Renewable and Sustainable Energy Reviews, Elsevier, vol. 158(C).

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