The Synthesis project. Research synthesis report最新文献_第2页

Choosing a health care provider. 选择医疗保健提供者。

The Synthesis project. Research synthesis report Pub Date : 2008-05-01 Epub Date: 2008-05-16

Katherine M Harris, Melinda Beeuwkes Buntin

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引用次数: 0

Paying for Quality: Understanding and Assessing Physician Pay-for-Performance Initiatives. 为质量付费：理解和评估医生按绩效付费计划。

The Synthesis project. Research synthesis report Pub Date : 2007-12-01 Epub Date: 2007-12-19

Claudia H Williams, Sheila Leatherman, Jon B Christianson, Kim Sutherland

{"title":"Paying for Quality: Understanding and Assessing Physician Pay-for-Performance Initiatives.","authors":"Claudia H Williams, Sheila Leatherman, Jon B Christianson, Kim Sutherland","doi":"","DOIUrl":"","url":null,"abstract":"Pay-for-performance (P4P) initiatives have been discussed since the early 1990s, but support for the concept has grown recently, fueled by experience with quality of care measures, endorsements by key players and research that underlines the need for quality improvements and reform to the physician payment system. This synthesis examines the evidence on P4P. Key findings include: About one-third of U.S. physicians already face quality-based incentives under their managed care contracts. These measures most often relate to clinical targets, efficiency, patient satisfaction and use of information technology, but apply to a limited set of specific diseases and preventive care services. While 80 percent of plans pay for meeting benchmarks, 20 percent pay for improvements in performance. Overall, incentive payments are small, averaging at most 5 percent of total payments. While large-scale, \"\"real-life\"\" research consistently shows improvement in quality indicators when P4P is in place, it is hard to disentangle the impact of P4P from that of other simultaneous quality initiatives. Evidence of P4P impact from small controlled studies has not been positive. Doctors are generally supportive of P4P but concerned about how well it can be implemented.","PeriodicalId":89508,"journal":{"name":"The Synthesis project. Research synthesis report","volume":" 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40126795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Revisiting crowd-out update. 重访拥挤更新。

The Synthesis project. Research synthesis report Pub Date : 2007-09-01 Epub Date: 2007-09-24

Kathleen T Call, Lynn A Blewett

引用次数: 0

Racial and ethnic disparities in access to and quality of health care. 获得保健和保健质量方面的种族和族裔差异。

The Synthesis project. Research synthesis report Pub Date : 2007-09-01

Jose J Escarce, Sarah Goodell

引用次数: 0

The built environment and physical activity. 建筑环境和身体活动。

The Synthesis project. Research synthesis report Pub Date : 2007-04-01

Claudia H Williams