Effects of individual physician-level and practice-level financial incentives on hypertension care: a randomized trial.

ABSTRACT:

Importance

Pay for performance is intended to align incentives to promote high-quality care, but results have been contradictory.

Objective

To test the effect of explicit financial incentives to reward guideline-recommended hypertension care.

Design, setting, and participants

Cluster randomized trial of 12 Veterans Affairs outpatient clinics with 5 performance periods and a 12-month washout that enrolled 83 primary care physicians and 42 nonphysician personnel (eg, nurses, pharmacists).

Interventions

Physician-level (individual) incentives, practice-level incentives, both, or none. Intervention participants received up to 5 payments every 4 months; all participants could access feedback reports.

Main outcomes and measures

Among a random sample, number of

SUBMITTER: Petersen LA 

PROVIDER: S-EPMC4165573 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature