P4P4P: An Agenda For Research On Pay-For-Performance For Patients
P4P4P: An Agenda For Research On Pay-For-Performance For Patients
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DOI：
10.1377/hlthaff.28.1.206
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发表时间：
2009-01-01
期刊：
影响因子：
9.7
通讯作者：
Bangsberg, David
中科院分区：
文献类型：
--
作者：
Volpp, Kevin G.;Pauly, Mark V.;Bangsberg, David
不健康的行为是导致健康状况不佳和医疗费用高昂的主要原因。在本文中，我们描述了一项研究议程，以指导更广泛地使用以患者为目标的财务激励措施，无论是与以提供者为目标的财务激励措施（按绩效付费，或 P4P）结合使用，还是在以提供者为目标的方法不太可能有效的临床环境中。我们讨论了已证明有效性的证据和现有证据的局限性、未充分使用这些方法的原因以及实现更广泛使用的选项。以患者为目标的激励措施具有巨大潜力，系统测试将有助于确定如何最好地利用它们来改善人口健康。 [卫生事务 28，没有。 1（2009）：206-214； 10.1377/hlthaff.28.1.206]
Unhealthy behavior is a major cause of poor health outcomes and high health care costs. In this paper we describe an agenda for research to guide broader use of patient-targeted financial incentives, either in conjunction with provider-targeted financial incentives (pay-for-performance, or P4P) or in clinical contexts where provider-targeted approaches are unlikely to be effective. We discuss evidence of proven effectiveness and limitations of the existing evidence, reasons for underuse of these approaches, and options for achieving wider use. Patient-targeted incentives have great potential, and systematic testing will help determine how they can best be used to improve population health. [Health Affairs 28, no. 1 (2009): 206-214; 10.1377/hlthaff.28.1.206]