Pay-for-Performance and Veteran Care in the VHA and the Community: a Systematic Review.

ABSTRACT:

Background

Although pay-for-performance (P4P) strategies have been used by the Veterans Health Administration (VHA) for over a decade, the long-term benefits of P4P are unclear. The use of P4P is further complicated by the increased use of non-VHA healthcare providers as part of the Veterans Choice Program. We conducted a systematic review and key informant interviews to better understand the effectiveness and potential unintended consequences of P4P, as well as the implementation factors and design features important in both VHA and non-VHA/community settings.

Methods

We searched PubMed, PsycINFO, and CINAHL through March 2017 and reviewed reference lists. We included trials and observational studies of P4P targeting Veteran health. Two investigators abstracted data and ass

SUBMITTER: Kondo KK 

PROVIDER: S-EPMC6025676 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature