Pay-for-Performance: Disappointing Results or Masked Heterogeneity?

ABSTRACT: Research on the effects of pay-for-performance (P4P) in health care indicates largely disappointing results. This central finding, however, may mask important heterogeneity in the effects of P4P. We conducted a literature review to assess whether hospital and physician performance in P4P vary by patient and catchment area factors, organizational and structural capabilities, and P4P program characteristics. Several findings emerged: organizational size, practice type, teaching status, and physician age and gender modify performance in P4P. For physician practices and hospitals, a higher proportion of poor and minority patients is consistently associated with worse performance. Other theoretically influential characteristics-including information technology and staffing levels-yield mixed re

SUBMITTER: Markovitz AA 

PROVIDER: S-EPMC5858565 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature