Paying for Performance in Healthcare Organisations

Document Type: Perspective

Author

Warwick Business School, The University of Warwick, Coventry, UK

Abstract

Aligning Financial Incentives (FIs) to health policy goals is becoming increasingly popular. In many cases, such initiatives have failed to deliver anticipated benefits. Attributing this to the actions of self-interested and resistant professionals is not an entirely helpful approach. It is important to avoid simplistic assumptions to build knowledge of how and why schemes are implemented in practice to inform future policy in this area.

Keywords

Main Subjects


1. Christianson J, Leatherman S, Sutherland K. Financial incentives for healthcare providers and quality improvement: a review of the evidence. London: Health Foundation; 2007.

2. Van Herck P, De Smedt D, Annemans L, Remmen R, Rosenthal M, Sermeus W. Systematic review: Effects, design choices, and context of pay-for-performance in health care. BMC Health Serv Res 2010; 10: 247. doi:10.1186/1472-6963-10-247

3. McDonald R, Cheraghi-Sohi S, Tickle M, Roland M, Doran T, Campbell S, et al. The impact of incentives on the behaviour and performance of primary care professionals. Report for the National Institute for Health Research Service Delivery and Organisation programme. 2010. [cited 2014 January 9]. Available from: http:// www.nets.nihr.ac.uk/__data/assets/pdf_file/0008/64295/FR-08- 1618-158.pdf

4. Gravelle H, Sutton M, Ma A. Doctor Behaviour Under A Pay For Performance Contract: Evidence From The Quality And Outcomes Framework. Econ J 2010; 120: F129–56. doI: 10.1111/j.1468-0297.2009.02340.x

5. McDonald R, Checkland K, Harrison S, Coleman A. Rethinking collegiality: restratification in English general medical practice 2004-2008. Soc Sci Med 2009; 68: 1199–205.

6. McDonald R, Cheraghi-Sohi S, Bayes S, Kai J, Morriss R. Competing and coexisting logics in the changing field of English general medical practice. Soc Sci Med 2013; 93: 47–54.

7. Flodgren G, Eccles MP, Shepperd S, Scott A, Parmelli E, Beyer FR. An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes. Cochrane Database Syst Rev 2011; 7: CD009255. doI: 10.1002/14651858.CD009255

8. Numerato D, Salvatore D, Fattore G. The impact of management on medical professionalism: a review. Sociol Health Illn 2012; 34: 626–44. doI: 10.1111/j.1467-9566.2011.01393.x

9. Bolton S, Houlihan M. Beyond the control-resistance debate. Qualitative Research in Accounting & Management 2009; 6: 5–13. doi: 10.1108/11766090910940629

10. McDonald R, Roland M. Pay for performance in primary care in England and California: comparison of unintended consequences. Ann Fam Med 2009; 7: 121–7. doi: 10.1370/afm.946

11. McDonald R, Zaidi S, Todd S, Konteh F, Hussein K, Brown S, et al. Evaluation of the Commissioning for Quality and Innovation Framework [internet]. 2013. [cited 2014 January 9]. Available from: http://www.nottingham.ac.uk/business/documents/news-documents/evaluation-of-the-commissioning-for-quality-and-innovation-framework---final-report---feb-2013.pdf

12. McDonald R, Zaidi S, Todd S, Konteh F, Hussein K, Roe J, et al. A Qualitative and Quantitative Evaluation of the Introduction of Best Practice Tariffs. An evaluation commissioned by the Department of Health [internet]. 2012. [cited 2014 January 9]. Available from: http://www.nottingham.ac.uk/business/documents/bpt-dh-report- 21nov2012.pdf

13. Sutton M, Nikolova S, Boaden R, Lester H, McDonald R, Roland M. Association between Mortality and Hospital Pay for Performance in England. N Engl J Med 2012; 367: 1821–8.

14. Jha AK, Joynt KE, Orav EJ, Epstein AM. The long-term effect of premier pay for performance on patient outcomes. N Engl J Med 2012; 366: 1606–15. doi: 10.1056/NEJMsa1112351

15. Kristensen S, McDonald R, Sutton M. Should pay-for-performance schemes be locally designed? Evidence from the Commissioning for Quality and Innovation (CQUIN) framework. J Health Serv Res Policy 2013; 18: 38–49. doi: 10.1177/1355819613490148

16. Doran T, Fullwood K, Kontopantelis E, Reeves D. Effect of financial incentives on inequalities in the delivery of primary clinical care in England: analysis of clinical indicators for the quality and outcomes framework. Lancet 2008; 372: 728–36. doi: 10.1016/s0140-6736(08)61123-x

17. Campbell S, McDonald R, Lester H. The experience of pay for performance in English family practice: A qualitative study. Ann Fam Med 2008; 6: 228–34. doi: 10.1370/afm.844

18. Lester H, Schmittdiel J, Selby J, Fireman J, Campbell S, Lee J, et al. The impact of removing financial incentives from clinical quality indicators: longitudinal analysis of four Kaiser Permanente indicators. BMJ 2012; 340: c1898. doi: 10.1136/bmj.c1898