Paying for performance in health care: implications for health system performance and accountability
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| Other Authors: | , , |
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| Format: | Electronic eBook |
| Language: | English |
| Published: |
New York
Open University Press
2014
|
| Series: | European Observatory on Health Systems and Policies series
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| Subjects: | |
| Online Access: | FAW01 FAW02 FLA01 |
| Physical Description: | 1 online resource (xxiii, 312 pages) illustrations |
| ISBN: | 0335264395 9780335264391 9264224564 9789264224568 0335264387 9780335264384 |
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| 505 | 8 | |a Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited. This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice. Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementation decisions, including the role of stakeholders ; Critical assessment of objectives versus results ; Examination of the of net impacts, including positive spillover effects and unintended consequencesThe detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability | |
| 505 | 8 | |a List of tables, figures and boxes ix List of contributors xiii Foreword from the OECD xv Foreword from CNAMTS xvii Acknowledgements xix List of abbreviations xxi PART I. AN OVERVIEW OF HEALTH PROVIDER P4P IN OECD COUNTRIES 1. Health provider P4P and strategic health purchasing by Cheryl Cashin, Y- Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson 3 2. P4P programme design by Cheryl Cashin 23 3. Strengthening health system governance through P4P implementation by Cheryl Cashin and Michael Borowitz 41 4. Evaluating P4P programmes by Y- Ling Chi and Matt Sutton 63 5. Lessons from the case study P4P programmes by Cheryl Cashin, Y- Ling Chi and Michael Borowitz 83 PART II. CASE STUDIES OF P4P PROGRAMMES IN OECD COUNTRIES Primary care 6. Australia: Practice incentives programme by Cheryl Cashin and Y- Ling Chi 109 7. Estonia: Primary health care quality bonus system by Triin Habicht 127 8. France: Payment for public health objectives by Frédéric Bousquet, Raphaëlle Bisiaux and Y- Ling Chi 141 9. Germany: Disease management programmes by Y- Ling Chi 157 10. New Zealand: Primary health organization performance programme by Cheryl Cashin 173 11. Turkey: Family medicine performance based contracting scheme by Rekha Menon, Son Nam Nguyen, Aneesa Arur, Ahmet Levent Yener and Iryna Postolovska 189 12. United Kingdom: Quality and outcomes framework by Cheryl Cashin 205 13. United States: California integrated healthcare association physician incentive programme by Meredith Rosenthal 223 Inpatient care 14. Brazil: São Paulo: Social organizations in health by Y- Ling Chi and Emily Hewlett 239 15. Republic of Korea: Value incentive programme by Raphaëlle Bisiaux and Y- Ling Chi 251 16. United States: Maryland hospital acquired conditions programme by Robert Murray 265 17. United States: Hospital quality incentive demonstration by Cheryl Cashin 287 Index 301 | |
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| 700 | 1 | |a Chi, Y-Ling |4 edt | |
| 700 | 1 | |a Smith, Peter |4 edt | |
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| contents | Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited. This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice. Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementation decisions, including the role of stakeholders ; Critical assessment of objectives versus results ; Examination of the of net impacts, including positive spillover effects and unintended consequencesThe detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability List of tables, figures and boxes ix List of contributors xiii Foreword from the OECD xv Foreword from CNAMTS xvii Acknowledgements xix List of abbreviations xxi PART I. AN OVERVIEW OF HEALTH PROVIDER P4P IN OECD COUNTRIES 1. Health provider P4P and strategic health purchasing by Cheryl Cashin, Y- Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson 3 2. P4P programme design by Cheryl Cashin 23 3. Strengthening health system governance through P4P implementation by Cheryl Cashin and Michael Borowitz 41 4. Evaluating P4P programmes by Y- Ling Chi and Matt Sutton 63 5. Lessons from the case study P4P programmes by Cheryl Cashin, Y- Ling Chi and Michael Borowitz 83 PART II. CASE STUDIES OF P4P PROGRAMMES IN OECD COUNTRIES Primary care 6. Australia: Practice incentives programme by Cheryl Cashin and Y- Ling Chi 109 7. Estonia: Primary health care quality bonus system by Triin Habicht 127 8. France: Payment for public health objectives by Frédéric Bousquet, Raphaëlle Bisiaux and Y- Ling Chi 141 9. Germany: Disease management programmes by Y- Ling Chi 157 10. New Zealand: Primary health organization performance programme by Cheryl Cashin 173 11. Turkey: Family medicine performance based contracting scheme by Rekha Menon, Son Nam Nguyen, Aneesa Arur, Ahmet Levent Yener and Iryna Postolovska 189 12. United Kingdom: Quality and outcomes framework by Cheryl Cashin 205 13. United States: California integrated healthcare association physician incentive programme by Meredith Rosenthal 223 Inpatient care 14. Brazil: São Paulo: Social organizations in health by Y- Ling Chi and Emily Hewlett 239 15. Republic of Korea: Value incentive programme by Raphaëlle Bisiaux and Y- Ling Chi 251 16. United States: Maryland hospital acquired conditions programme by Robert Murray 265 17. United States: Hospital quality incentive demonstration by Cheryl Cashin 287 Index 301 |
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| indexdate | 2024-07-10T07:35:00Z |
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| series2 | European Observatory on Health Systems and Policies series |
| spelling | Paying for performance in health care implications for health system performance and accountability edited by Cheryl Cashin, Y-Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson New York Open University Press 2014 1 online resource (xxiii, 312 pages) illustrations txt rdacontent c rdamedia cr rdacarrier European Observatory on Health Systems and Policies series Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited. This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice. Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementation decisions, including the role of stakeholders ; Critical assessment of objectives versus results ; Examination of the of net impacts, including positive spillover effects and unintended consequencesThe detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability List of tables, figures and boxes ix List of contributors xiii Foreword from the OECD xv Foreword from CNAMTS xvii Acknowledgements xix List of abbreviations xxi PART I. AN OVERVIEW OF HEALTH PROVIDER P4P IN OECD COUNTRIES 1. Health provider P4P and strategic health purchasing by Cheryl Cashin, Y- Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson 3 2. P4P programme design by Cheryl Cashin 23 3. Strengthening health system governance through P4P implementation by Cheryl Cashin and Michael Borowitz 41 4. Evaluating P4P programmes by Y- Ling Chi and Matt Sutton 63 5. Lessons from the case study P4P programmes by Cheryl Cashin, Y- Ling Chi and Michael Borowitz 83 PART II. CASE STUDIES OF P4P PROGRAMMES IN OECD COUNTRIES Primary care 6. Australia: Practice incentives programme by Cheryl Cashin and Y- Ling Chi 109 7. Estonia: Primary health care quality bonus system by Triin Habicht 127 8. France: Payment for public health objectives by Frédéric Bousquet, Raphaëlle Bisiaux and Y- Ling Chi 141 9. Germany: Disease management programmes by Y- Ling Chi 157 10. New Zealand: Primary health organization performance programme by Cheryl Cashin 173 11. Turkey: Family medicine performance based contracting scheme by Rekha Menon, Son Nam Nguyen, Aneesa Arur, Ahmet Levent Yener and Iryna Postolovska 189 12. United Kingdom: Quality and outcomes framework by Cheryl Cashin 205 13. United States: California integrated healthcare association physician incentive programme by Meredith Rosenthal 223 Inpatient care 14. Brazil: São Paulo: Social organizations in health by Y- Ling Chi and Emily Hewlett 239 15. Republic of Korea: Value incentive programme by Raphaëlle Bisiaux and Y- Ling Chi 251 16. United States: Maryland hospital acquired conditions programme by Robert Murray 265 17. United States: Hospital quality incentive demonstration by Cheryl Cashin 287 Index 301 Medical care, Cost of fast Medical economics fast BUSINESS & ECONOMICS / Industries / General bisacsh Industrie Wirtschaft Medical care, Cost of Medical economics Cashin, Cheryl edt Chi, Y-Ling edt Smith, Peter edt Organisation for Economic Co-operation and Development Sonstige oth OECD iLibrary Sonstige oth |
| spellingShingle | Paying for performance in health care implications for health system performance and accountability Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited. This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice. Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementation decisions, including the role of stakeholders ; Critical assessment of objectives versus results ; Examination of the of net impacts, including positive spillover effects and unintended consequencesThe detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability List of tables, figures and boxes ix List of contributors xiii Foreword from the OECD xv Foreword from CNAMTS xvii Acknowledgements xix List of abbreviations xxi PART I. AN OVERVIEW OF HEALTH PROVIDER P4P IN OECD COUNTRIES 1. Health provider P4P and strategic health purchasing by Cheryl Cashin, Y- Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson 3 2. P4P programme design by Cheryl Cashin 23 3. Strengthening health system governance through P4P implementation by Cheryl Cashin and Michael Borowitz 41 4. Evaluating P4P programmes by Y- Ling Chi and Matt Sutton 63 5. Lessons from the case study P4P programmes by Cheryl Cashin, Y- Ling Chi and Michael Borowitz 83 PART II. CASE STUDIES OF P4P PROGRAMMES IN OECD COUNTRIES Primary care 6. Australia: Practice incentives programme by Cheryl Cashin and Y- Ling Chi 109 7. Estonia: Primary health care quality bonus system by Triin Habicht 127 8. France: Payment for public health objectives by Frédéric Bousquet, Raphaëlle Bisiaux and Y- Ling Chi 141 9. Germany: Disease management programmes by Y- Ling Chi 157 10. New Zealand: Primary health organization performance programme by Cheryl Cashin 173 11. Turkey: Family medicine performance based contracting scheme by Rekha Menon, Son Nam Nguyen, Aneesa Arur, Ahmet Levent Yener and Iryna Postolovska 189 12. United Kingdom: Quality and outcomes framework by Cheryl Cashin 205 13. United States: California integrated healthcare association physician incentive programme by Meredith Rosenthal 223 Inpatient care 14. Brazil: São Paulo: Social organizations in health by Y- Ling Chi and Emily Hewlett 239 15. Republic of Korea: Value incentive programme by Raphaëlle Bisiaux and Y- Ling Chi 251 16. United States: Maryland hospital acquired conditions programme by Robert Murray 265 17. United States: Hospital quality incentive demonstration by Cheryl Cashin 287 Index 301 Medical care, Cost of fast Medical economics fast BUSINESS & ECONOMICS / Industries / General bisacsh Industrie Wirtschaft Medical care, Cost of Medical economics |
| title | Paying for performance in health care implications for health system performance and accountability |
| title_auth | Paying for performance in health care implications for health system performance and accountability |
| title_exact_search | Paying for performance in health care implications for health system performance and accountability |
| title_full | Paying for performance in health care implications for health system performance and accountability edited by Cheryl Cashin, Y-Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson |
| title_fullStr | Paying for performance in health care implications for health system performance and accountability edited by Cheryl Cashin, Y-Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson |
| title_full_unstemmed | Paying for performance in health care implications for health system performance and accountability edited by Cheryl Cashin, Y-Ling Chi, Peter C. Smith, Michael Borowitz and Sarah Thomson |
| title_short | Paying for performance in health care |
| title_sort | paying for performance in health care implications for health system performance and accountability |
| title_sub | implications for health system performance and accountability |
| topic | Medical care, Cost of fast Medical economics fast BUSINESS & ECONOMICS / Industries / General bisacsh Industrie Wirtschaft Medical care, Cost of Medical economics |
| topic_facet | Medical care, Cost of Medical economics BUSINESS & ECONOMICS / Industries / General Industrie Wirtschaft Medical care, Cost of Medical economics |
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