Is the evidence on the effectiveness of pay for performance schemes in healthcare changing? Evidence from a meta-regression analysis.
Is the evidence on the effectiveness of pay for performance schemes in healthcare changing? Evidence from a meta-regression analysis.
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DOI：
10.1186/s12913-021-06118-8
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发表时间：
2021-02-24
影响因子：
2.8
通讯作者：
Scott A
中科院分区：
文献类型：
--
作者：
Zaresani A;Scott A
本研究通过更新先前的系统性综述，调查了医疗保健中绩效工资（P4P）计划成功的证据是否随着计划的不断发展而发生变化。一项荟萃回归分析使用了2010年1月至2018年2月期间发表的116项评估P4P方案的研究。研究设计的影响，激励计划，使用激励措施，和规模的支付收入比的比例，在每项研究中的统计显着的影响进行了检查。有证据表明，采用采购换保护计划的国家范围有所增加，但有微弱证据表明，具有统计学显著影响的研究比例有所增加。假设影响计划成功的因素没有改变。评估P4P计划的研究表明，随着时间的推移，P4P计划的改善与统计学显著影响的比例较低有关。有微弱的证据表明，奖励措施的规模与统计上显著效果的比例之间存在正相关关系。关于采购换伙伴计划有效性的证据进展缓慢，几乎没有证据表明在设计和评价采购换伙伴计划方面吸取了经验教训。在线版本包含补充材料，可通过10.1186/s12913-021-06118-8获得。
This study investigated if the evidence on the success of the Pay for Performance (P4P) schemes in healthcare is changing as the schemes continue to evolve by updating a previous systematic review. A meta-regression analysis using 116 studies evaluating P4P schemes published between January 2010 to February 2018. The effects of the research design, incentive schemes, use of incentives, and the size of the payment to revenue ratio on the proportion of statically significant effects in each study were examined. There was evidence of an increase in the range of countries adopting P4P schemes and weak evidence that the proportion of studies with statistically significant effects have increased. Factors hypothesized to influence the success of schemes have not changed. Studies evaluating P4P schemes which made payments for improvement over time, were associated with a lower proportion of statistically significant effects. There was weak evidence of a positive association between the incentives’ size and the proportion of statistically significant effects. The evidence on the effectiveness of P4P schemes is evolving slowly, with little evidence that lessons are being learned concerning the design and evaluation of P4P schemes. The online version contains supplementary material available at 10.1186/s12913-021-06118-8.
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DOI：
10.1186/s13012-016-0540-1
发表时间：
2017-02-02
期刊：
Implementation science : IS
影响因子：
--
作者：
Anselmi L;Binyaruka P;Borghi J
通讯作者：
Borghi J
影响因子：
8.4
作者：
Flodgren, Gerd;Eccles, Martin P.;Shepperd, Sasha;Scott, Anthony;Parmelli, Elena;Beyer, Fiona R.
通讯作者：
Beyer, Fiona R.
影响因子：
1.6
作者：
Chen YC;Lee CT;Lin BJ;Chang YY;Shi HY
通讯作者：
Shi HY
影响因子：
2.1
作者：
Allen, Thomas;Fichera, Eleonora;Sutton, Matt
通讯作者：
Sutton, Matt
DOI：
10.3122/jabfm.2010.05.070187
发表时间：
2010-09-01
影响因子：
2.9
作者：
Gavagan, Thomas F.;Du, Hongyan;Goodrick, G. Ken
通讯作者：
Goodrick, G. Ken