| A Longitudinal Examination of a Pay-for-Performance Program for Diabetes Care: Evidence From a Natural Experiment. | |
| | |
MedLine Citation:
|
PMID: 22249920 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: : Numerous studies have examined the impacts of pay-for-performance programs, yet little is known about their long-term effects on health care expenses. OBJECTIVES: : This study aimed to examine the long-term effects of a pay-for-performance program for diabetes care on health care utilization and expenses. METHODS: : This study represents a nationwide population-based natural experiment with a 4-year follow-up period under a compulsory universal health insurance program in Taiwan. The intervention groups consisted of 20,934 patients enrolled in the program in 2005, and 9694 patients continuously participated in the program for 4 years. Two comparison groups were selected by propensity score matching from patients seen by the same group of physicians. Generalized estimating equations were used to estimate differences-in-differences models to examine the effects of the pay-for-performance program. RESULTS: : Patients enrolled in the pay-for-performance program underwent significantly more diabetes specific examinations and tests after enrollment; the differences between the intervention and comparison groups declined gradually over time but remained significant. Patients in the intervention groups had a significantly higher number of diabetes-related physician visits in only the first year after enrollment and had fewer diabetes-related hospitalizations in the follow-up period. Concerning overall health care expenses, patients in the intervention groups spent more than the comparison group in the first year; however, the continual enrollees spent significantly less than their counterparts in the subsequent years. CONCLUSIONS: : The program seemed to achieve its primary goal in improving health care and providing long-term cost benefits. |
| | |
Authors:
|
Shou-Hsia Cheng; Tai-Ti Lee; Chi-Chen Chen |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Medical care Volume: 50 ISSN: 1537-1948 ISO Abbreviation: Med Care Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-01-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0230027 Medline TA: Med Care Country: United States |
Other Details:
|
Languages: eng Pagination: 109-16 Citation Subset: IM |
Affiliation:
|
*Institute of Health Policy and Management, College of Public Health, National Taiwan University †Bureau of National Health Insurance, Department of Health, Executive Yuan, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: C5a Receptor (CD88) Inhibition Improves Hypothermia-Induced Neuroprotection in an In Vitro Ischemic ...
Next Document: Variability in case-mix adjusted in-hospital cardiac arrest rates.