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Economic evaluation of pay-for-performance in health care: a systematic review

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  • Martin Emmert
  • Frank Eijkenaar
  • Heike Kemter
  • Adelheid Esslinger
  • Oliver Schöffski

Abstract

The results show that evidence on the efficiency of P4P is scarce and inconclusive. P4P efficiency could not be demonstrated. The small number and variability of included studies limit the strength of our conclusions. More research addressing P4P efficiency is needed. Copyright Springer-Verlag 2012

Suggested Citation

  • Martin Emmert & Frank Eijkenaar & Heike Kemter & Adelheid Esslinger & Oliver Schöffski, 2012. "Economic evaluation of pay-for-performance in health care: a systematic review," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(6), pages 755-767, December.
    • Handle: RePEc:spr:eujhec:v:13:y:2012:i:6:p:755-767
    DOI: 10.1007/s10198-011-0329-8
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    Cited by:

    1. Alina Peluso & Paolo Berta & Veronica Vinciotti, 2019. "Do pay-for-performance incentives lead to a better health outcome?," Empirical Economics, Springer, vol. 56(6), pages 2167-2184, June.
    2. Panayotis Constantinou & Jonathan Sicsic & Carine Franc, 2017. "Effect of pay-for-performance on cervical cancer screening participation in France," International Journal of Health Economics and Management, Springer, vol. 17(2), pages 181-201, June.
    3. Eleonora Fichera & Hugh Gravelle & Mario Pezzino & Matt Sutton, 2013. "Choice of contracts for quality in health care: Evidence from the British NHS," Working Papers 085cherp, Centre for Health Economics, University of York.
    4. Allen, Thomas & Whittaker, William & Sutton, Matt, 2017. "Does the proportion of pay linked to performance affect the job satisfaction of general practitioners?," Social Science & Medicine, Elsevier, vol. 173(C), pages 9-17.
    5. Maren Duvendack, 2022. "Payment‐by‐results for health interventions in low‐ and middle‐income countries: A critical review," Development Policy Review, Overseas Development Institute, vol. 40(1), January.
    6. Noémi Kreif & Richard Grieve & Dominik Hangartner & Alex James Turner & Silviya Nikolova & Matt Sutton, 2016. "Examination of the Synthetic Control Method for Evaluating Health Policies with Multiple Treated Units," Health Economics, John Wiley & Sons, Ltd., vol. 25(12), pages 1514-1528, December.
    7. Brosig-Koch, Jeannette & Hennig-Schmidt, Heike & Kairies-Schwarz, Nadja & Wiesen, Daniel, 2016. "Physician performance pay: Evidence from a laboratory experiment," Ruhr Economic Papers 658, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    8. Milstein, Ricarda & Schreyögg, Jonas, 2015. "A review of pay-for-performance programs in the inpatient sector in OECD countries," hche Research Papers 9, University of Hamburg, Hamburg Center for Health Economics (hche).
    9. Iezzi, Elisa & Lippi Bruni, Matteo & Ugolini, Cristina, 2014. "The role of GP's compensation schemes in diabetes care: Evidence from panel data," Journal of Health Economics, Elsevier, vol. 34(C), pages 104-120.
    10. Hugh McLeod & Deirdre Blissett & Steven Wyatt & Mohammed A Mohammed, 2015. "Effect of Pay-For-Outcomes and Encouraging New Providers on National Health Service Smoking Cessation Services in England: A Cluster Controlled Study," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-15, April.
    11. Brosig-Koch, Jeannette & Groß, Mona & Hennig-Schmidt, Heike & Kairies-Schwarz, Nadja & Wiesen, Daniel, 2021. "Physicians' incentives, patients' characteristics, and quality of care: A systematic experimental comparison of fee-for-service, capitation, and pay for performance," Ruhr Economic Papers 923, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    12. R. Tamara Konetzka & Meghan M. Skira & Rachel M. Werner, 2018. "Incentive Design and Quality Improvements: Evidence from State Medicaid Nursing Home Pay-for-Performance Programs," American Journal of Health Economics, MIT Press, vol. 4(1), pages 105-130, Winter.
    13. Carmen Carpio & Natalia Santiago Bench, 2015. "The Health Workforce in Latin America and the Caribbean," World Bank Publications - Books, The World Bank Group, number 22027.
    14. Lavergne, M. Ruth & Law, Michael R. & Peterson, Sandra & Garrison, Scott & Hurley, Jeremiah & Cheng, Lucy & McGrail, Kimberlyn, 2018. "Effect of incentive payments on chronic disease management and health services use in British Columbia, Canada: Interrupted time series analysis," Health Policy, Elsevier, vol. 122(2), pages 157-164.
    15. Kauhanen, Antti & Salmi, Julia & Torkki, Paulus, 2013. "Performance Measurement in Healthcare Incentive Plans," ETLA Working Papers 18, The Research Institute of the Finnish Economy.
    16. Burau, Viola & Dahl, Hanne Marlene & Jensen, Lotte Groth & Lou, Stina, 2018. "Beyond Activity Based Funding. An experiment in Denmark," Health Policy, Elsevier, vol. 122(7), pages 714-721.
    17. Neeru Gupta & Holly M. Ayles, 2019. "Effects of pay-for-performance for primary care physicians on diabetes outcomes in single-payer health systems: a systematic review," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(9), pages 1303-1315, December.
    18. Hui-Min Hsieh & Song-Mao Gu & Shyi-Jang Shin & Hao-Yun Kao & Yi-Chieh Lin & Herng-Chia Chiu, 2015. "Cost-Effectiveness of a Diabetes Pay-For-Performance Program in Diabetes Patients with Multiple Chronic Conditions," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-15, July.
    19. 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.
    20. Stadhouders, Niek & Kruse, Florien & Tanke, Marit & Koolman, Xander & Jeurissen, Patrick, 2019. "Effective healthcare cost-containment policies: A systematic review," Health Policy, Elsevier, vol. 123(1), pages 71-79.

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    More about this item

    Keywords

    Pay-for-performance; P4P; Economic evaluation; Efficiency; ROI; Cost-effectiveness; I11; I12; J33;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J33 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Compensation Packages; Payment Methods

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