Impact of a pay for performance program to improve diabetes care in the safety net
Impact of a pay for performance program to improve diabetes care in the safety net
复制标题
DOI：
10.1016/j.ypmed.2012.05.004
复制
发表时间：
2012-11-01
影响因子：
5.1
通讯作者：
Rosenthal, Meredith B.
中科院分区：
文献类型：
--
作者：
Chien, Alyna T.;Eastman, Diana;Rosenthal, Meredith B.
客观的。评估“计件工资”绩效工资 (P4P) 计划的影响，该计划旨在改善参加非营利性医疗补助管理式医疗计划的患者的糖尿病护理流程、结果和相关医疗保健利用率。方法。为了评估哈德逊健康计划在纽约的 P4P 计划（2003-2007 年），我们进行了：（1）使用计划级管理数据进行案例比较双差研究； (2) 患者层面的理赔数据分析； (3) 横断面调查结果。病例比较研究发现糖尿病护理过程（例如 HbA1c、血脂和散瞳检查率）和结果（例如 LDL-C）
Objective. To evaluate the impact of a "piece-rate" pay for performance (P4P) program aimed at improving diabetes care processes, outcomes and related healthcare utilization for patients enrolled in a not-for-profit Medicaid-focused managed care plan.Methods. To evaluate Hudson Health Plan's P4P program in New York (2003-2007), we conducted: (1) a case-comparison difference-in-difference study using plan-level administrative data; (2) a patient-level claims data analysis; and (3) a cross-sectional survey.Results. The case-comparison study found that diabetes care processes (e.g., HbA1c, lipid, and dilated eye exam rates) and outcomes (e.g.. LDL-C