The impact of pay-for-performance on the quality of care in ophthalmology: Empirical evidence from Germany

Herbst, Tim; Foerster, Julia; Emmert, Martin

doi:10.1016/j.healthpol.2018.03.013

Cited by 7 publications

(3 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a result of the five year of follow-up, they have reported that the P4P system did not make a significant contribution to the parameters of the study, such as quality, patient satisfaction, hospitalization time. Also their outcomes of surgical procedures were similar to the outcomes of patients who did not participate in the study (36).…”

Section: Discussionsupporting

confidence: 55%

Pay for performance system in Turkey and the world; a global overview

Şahiner

Esen²,

Uçar³

et al. 2022

Turk J Surg

View full text Add to dashboard Cite

Objective: This study aimed to compare the pay for performance system applied nationally in Turkey and in other countries around the world and to reveal the effects of the system applied in our country on the general surgery. Material and Methods: Current literature and countries’ programs on the implementation of the pay for performance system were recorded. The results of the Turkish Surgical Association’s performance and Healthcare Implementation Communique (HIC) commission studies were evaluated in light of the literature. Results: Many countries have implemented performance systems on a limited scale to improve quality, speed up the diagnosis, treatment, and control of certain diseases, and they have generally applied it as a financial promotion by receiving the support of health insurance companies and nongovernmental organizations. It turns out that surgeons in our country feel that they are being wronged because of the injustice in the current system because the property of their works is not appreciated and they cannot get the reward for the work they do. This is also the reason for the reluctance of medical school graduates to choose general surgery. Conclusion: Authorities should pay attention to the opinions of associations and experts in the related field when creating lists of interventional procedures related to surgery. Equal pay should be given to equal work nationally, and surgeons should be encouraged by incentives to perform detailed, qualified surgeries. There is a possibility that the staff positions opened for general surgery, as well as, all surgical branches will remain empty in the near future.

show abstract

Section: Discussionsupporting

confidence: 55%

Pay for performance system in Turkey and the world; a global overview

Şahiner

Esen²,

Uçar³

et al. 2022

Turk J Surg

View full text Add to dashboard Cite

show abstract

“…These "pay for performance," or "value-based incentives," have served as powerful motivators in healthcare organizations to move to new services or redesign existing programs with mixed outcomes regarding actual improvements in quality and cost (5,6). Bundled payments, long considered an improvement over fee-for-service reimbursement models, have been shown to forcefully drive changes in care delivery which do not necessarily result in improvements in quality or reductions in the actual cost to the healthcare system (7).…”

Section: Introductionmentioning

confidence: 99%

Rethinking organizational change in the COVID-19 era

Choflet¹,

Packard²,

Stashower³

2021

J Hosp Manag Health Policy

View full text Add to dashboard Cite

Planned organizational change has a long history in formal organizations of all types. A model of planned organizational change from the existing literature can be used to identify a set of principles which can be offered for use during the current COVID-19 crisis, but this traditional model may not be fully adequate during this especially challenging period. A relatively new model from the field of complexity theory for organizations, Complex Adaptive Systems (CAS), offers promise for addressing the unique crisis conditions facing hospitals in the COVID-19 era. These conditions require constant assessment; ongoing high levels of communication; and iterative cycles of experimentation, reflection and learning, which can be better addressed in a CAS framework. Healthcare providers are experiencing periods of relative calm and interspersed crisis, which need to be proactively recognized and managed through sustained, "big picture" changes using timely combinations of traditional methods, complexity approaches, with the flexibility and ethical considerations of crisis management strategies built in. Successful crisis management requires leadership skills of those involved in decision-making at the local level, with a preference for the use of inclusive and adaptive leadership styles. Innovative strategies, teamwork, and crisis management models that have recently emerged may enable deeper systemic change in the long term. Any hospital or program in a healthcare system should be able to use this material to address a significant organizational change need.

show abstract

“…The QOF has, however, received increasing criticism with several studies suggesting it has not led to improvements in the quality of primary care and population health metrics, and that it is poor value for money (Ashworth & Gulliford, 2017; Campbell et al, 2009; Doran et al, 2006; Doran et al, 2011; Doran et al, 2014; Doran et al, 2017; Fleetcroft et al, 2010; Forbes et al, 2017; Gillam et al, 2012; Grigoroglou et al, 2018; Hamel et al, 2014; Kontopantelis et al, 2015; Lester et al, 2010; Mandavia et al, 2017; Marshall & Roland, 2017; Raleigh, 2018; Roland, 2016; Roland & Guthrie, 2016; Roland & Olesen, 2016; Ryan et al, 2016; Steel & Shekelle, 2016; Thorne, 2016). There have been a considerable number of studies and systematic reviews investigating the effects of incentive schemes on quality, cost, efficiency, and equity of primary care provision (Alshamsan et al, 2010; Alshamsan et al, 2012; Conrad & Perry, 2009; Damberg et al, 2014; Doran et al, 2006; Eijkenaar et al, 2013; Emmert et al, 2012; Flodgren et al, 2011; Girault et al, 2017; Glidewell et al, 2015; Grimaldi, 2018; Herbst et al, 2018; Houle et al, 2012; Kondo et al, 2016; Lee et al, 2011; Markovitz & Ryan, 2017; Mendelson et al, 2017; Pandya et al, 2018; Petersen et al, 2006; Petersen et al, 2013; Roland & Dudley, 2015; Scott et al, 2011; Soucat et al, 2017; Van Herck et al, 2010;…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effectiveness of a Local Primary Care Incentive Scheme: A Difference-in-Differences Study

et al. 2021

View full text Add to dashboard Cite

National financial incentive schemes for improving the quality of primary care have come under criticism in the United Kingdom, leading to calls for localized alternatives. This study investigated whether a local general practice incentive-based quality improvement scheme launched in 2011 in a city in the North West of England was associated with a reduction in all-cause emergency hospital admissions. Difference-in-differences analysis was used to compare the change in emergency admission rates in the intervention city, to the change in a matched comparison population. Emergency admissions rates fell by 19 per 1,000 people in the years following the intervention (95% confidence interval [17, 21]) in the intervention city, relative to the comparison population. This effect was greater among more disadvantaged populations, narrowing socioeconomic inequalities in emergency admissions. The findings suggest that similar approaches could be an effective component of strategies to reduce unplanned hospital admissions elsewhere.

show abstract

The impact of pay-for-performance on the quality of care in ophthalmology: Empirical evidence from Germany

Cited by 7 publications

References 33 publications

Pay for performance system in Turkey and the world; a global overview

Pay for performance system in Turkey and the world; a global overview

Rethinking organizational change in the COVID-19 era

Evaluating the Effectiveness of a Local Primary Care Incentive Scheme: A Difference-in-Differences Study

Contact Info

Product

Resources

About