| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w16909 |
| 来源ID | Working Paper 16909 |
| Physician Response to Pay-for-Performance: Evidence from a Natural Experiment | |
| Jinhu Li; Jeremiah Hurley; Philip DeCicca; Gioia Buckley | |
| 发表日期 | 2011-03-24 |
| 出版年 | 2011 |
| 语种 | 英语 |
| 摘要 | Explicit financial incentives, especially pay-for-performance (P4P) incentives, have been extensively employed in recent years by health plans and governments in an attempt to improve the quality of health care services. This study exploits a natural experiment in the province of Ontario, Canada to identify empirically the impact of pay-for-performance (P4P) incentives on the provision of targeted primary care services, and whether physicians' responses differ by age, practice size and baseline compliance level. We use an administrative data source which covers the full population of the province of Ontario and nearly all the services provided by practicing primary care physicians in Ontario. With an individual-level data set of physicians, we employ a difference-in-differences approach that controls for both "selection on observables" and "selection on unobservables" that may cause estimation bias in the identification. We also implemented a set of robustness checks to control for confounding from the other contemporary interventions of the primary care reform in Ontario. The results indicate that, while all responses are of modest size, physicians responded to some of the financial incentives but not the others. The differential responses appear related to the cost of responding and the strength of the evidence linking a service with quality. Overall, the results provide a cautionary message regarding the effectiveness of pay-for-performance schemes for increasing quality of care. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Compensation |
| URL | https://www.nber.org/papers/w16909 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/574584 |
| 推荐引用方式 GB/T 7714 | Jinhu Li,Jeremiah Hurley,Philip DeCicca,et al. Physician Response to Pay-for-Performance: Evidence from a Natural Experiment. 2011. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w16909.pdf（744KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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