## Abstract Financial incentives may increase performance on targeted activities and have unintended consequences for untargeted activities. An innovative payβforβperformance scheme was introduced for UK general practices in 2004. It incentivised particular quality indicators for targeted groups of
The effects of an incentive program on quality of care in diabetes management
β Scribed by Anthony Scott; Stefanie Schurer; Paul H. Jensen; Peter Sivey
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 185 KB
- Volume
- 18
- Category
- Article
- ISSN
- 1057-9230
- DOI
- 10.1002/hec.1536
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
An incentive program for general practitioners to encourage systematic and ighβquality care in chronic disease management was introduced in Australia in 1999. There is little empirical evidence and ambiguous theoretical guidance on which effects to expect. This paper evaluates the impact of the incentive program on quality of care in diabetes, as measured by the probability of ordering an HbA1c test. The empirical analysis is conducted with a unique data set and a bivariate probit model to control for the selfβselection process of practices into the program. The study finds that the incentive program increased the probability of an HbA1c test being ordered by 20 percentage points and that participation in the program is facilitated by the support of Divisions of General Practice. Copyright Β© 2009 John Wiley & Sons, Ltd.
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