Motivating physician behaviour change: social influence versus financial contingencies

Goodpastor, Walter A.; Montoya, Isaac D.

doi:10.1108/09526869610128214

Cited by 12 publications

(8 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…the combination of patient based feedback with brief training, or with financial incentives). Financial incentives are known to be effective (external) motivators [ 58 ]. This type of arrangement is already utilised in the United States.…”

Section: Discussionmentioning

confidence: 99%

Can the feedback of patient assessments, brief training, or their combination, improve the interpersonal skills of primary care physicians? A systematic review

Cheraghi-Sohi

Bower

2008

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Improving quality of primary care is a key focus of international health policy. Current quality improvement efforts place a large focus on technical, clinical aspects of quality, but a comprehensive approach to quality improvement should also include interpersonal care. Two methods of improving the quality of interpersonal care in primary care have been proposed. One involves the feedback of patient assessments of interpersonal care to physicians, and the other involves brief training and education programmes. This study therefore reviewed the efficacy of (i) feedback of real patient assessments of interpersonal care skills, (ii) brief training focused on the improvement of interpersonal care (iii) interventions combining both (i) and (ii)

show abstract

Section: Discussionmentioning

confidence: 99%

Can the feedback of patient assessments, brief training, or their combination, improve the interpersonal skills of primary care physicians? A systematic review

Cheraghi-Sohi

Bower

2008

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Although information provision and education is useful, there is evidence that education alone has a limited effect on physician's behaviour. [201][202][203] The introduction of guidelines and protocols may help change behaviour. In the UK, national guidelines such as The Royal College of Physicians' National Clinical Guidelines for Stroke 204 and the Scottish Intercollegiate Guidelines Network guidelines (URL: http://www.show.scot.nhs.uk/sign/ guidelines/index.html) for stroke are useful highquality resources.…”

Section: In-hospital Barriersmentioning

confidence: 99%

A systematic review of the effectiveness, cost-effectiveness and barriers to implementation of thrombolytic and neuroprotective therapy for acute ischaemic stroke in the NHS

Sandercock

Berge

Dennis

et al. 2002

Health Technol Assess

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it.

show abstract

“…It remains a challenging task to understand the effects of financial incentives in payment models on medical professionalism and its subsequent impact on patient care. Financial incentives might be the most effective measure in changing a physician's behavior . Hence, a physician's behavior is driven by professionalism and virtues; while at the same time it is influenced by financial incentives.…”

Section: Discussionmentioning

confidence: 99%

“…Financial incentives might be the most effective measure in changing a physician's behavior. 70 Hence, a physician's behavior is driven by professionalism and virtues; while at the same time it is influenced by financial incentives. As a consequence financial incentives may very likely also influence a physician's professionalism.…”

Section: Fidelity and Honestymentioning

confidence: 99%

Ethical Implications of Case‐Based Payment in China: A Systematic Analysis

Jin¹,

Biller‐Andorno²,

Wild³

2014

Developing World Bioethics

View full text Add to dashboard Cite

How health care providers are paid affects how medicine is practiced. It is thus important to assess provider payment models not only from the economic perspective but also from the ethical perspective. China recently started to reform the provider payment model in the health care system from fee-for-service to case-based payment. This paper aims to examine this transition from an ethical perspective. We collected empirical studies on the impact of case-based payment in the Chinese health care system and applied a systematic ethical matrix that integrates clinical ethics and public health ethics to analyze the empirical findings. We identified eleven prominent ethical issues related to case-based payment. Some ethical problems of case-based payment in China are comparable to ethical problems of managed care and diagnosis related groups in high-income countries. However, in this paper we discuss in greater detail four specific ethical issues in the Chinese context: professionalism, the patient-physician relationship, access to care and patient autonomy. Based on the analysis, we cautiously infer that case-based payment is currently more ethically acceptable than fee-for-service in the context of China, mainly because it seems to lower financial barriers to access care. Nonetheless, it will be difficult to justify the implementation of case-based payment if no additional measures are taken to monitor and minimize its existing negative ethical implications.

show abstract

Motivating physician behaviour change: social influence versus financial contingencies

Cited by 12 publications

References 59 publications

Can the feedback of patient assessments, brief training, or their combination, improve the interpersonal skills of primary care physicians? A systematic review

Can the feedback of patient assessments, brief training, or their combination, improve the interpersonal skills of primary care physicians? A systematic review

A systematic review of the effectiveness, cost-effectiveness and barriers to implementation of thrombolytic and neuroprotective therapy for acute ischaemic stroke in the NHS

Ethical Implications of Case‐Based Payment in China: A Systematic Analysis

Contact Info

Product

Resources

About