Systematic review: Effects, design choices, and context of pay-for-performance in health care.

ABSTRACT:

Background

Pay-for-performance (P4P) is one of the primary tools used to support healthcare delivery reform. Substantial heterogeneity exists in the development and implementation of P4P in health care and its effects. This paper summarizes evidence, obtained from studies published between January 1990 and July 2009, concerning P4P effects, as well as evidence on the impact of design choices and contextual mediators on these effects. Effect domains include clinical effectiveness, access and equity, coordination and continuity, patient-centeredness, and cost-effectiveness.

Methods

The systematic review made use of electronic database searching, reference screening, forward citation tracking and expert consultation. The following databases were searched: Cochrane Library, Econ

SUBMITTER: Van Herck P 

PROVIDER: S-EPMC2936378 | biostudies-literature | 2010 Aug

REPOSITORIES: biostudies-literature