The Effect of Financial Incentives on Quality of Care: The Case of Diabetes
AbstractAustralia introduced an incentive payment scheme for general practitioners to ensure systematic and high quality care in chronic disease management. There is little empirical evidence and ambiguous theoretical guidance on which effects to expect on the quality of care. This paper evaluates the impact of the payment incentives 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 multivariate probit model to control for the simultaneous self-selection process of practices into the payment scheme and larger practices. The study finds that the incentive reform had a positive effect on quality of care in diabetes management and that participation in the scheme is facilitated by the support of Divisions of General Practice.
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Bibliographic InfoPaper provided by Melbourne Institute of Applied Economic and Social Research, The University of Melbourne in its series Melbourne Institute Working Paper Series with number wp2008n12.
Length: 30 pages
Date of creation: Jul 2008
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- Scott, A & Schurer, S & Jensen, P H & Sivey, P, 2008. "The Effects of Financial Incentives on Quality of Care: The Case of Diabetes," Health, Econometrics and Data Group (HEDG) Working Papers 08/15, HEDG, c/o Department of Economics, University of York.
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models
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- repec:ese:iserwp:2006-16 is not listed on IDEAS
- S. Balia & AM. Jones, 2004.
"Mortality, Lifestyle and Socio-Economic Status,"
Working Paper CRENoS
200416, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.
- Silvia Balia & Andrew M Jones, 2005. "Mortality, lifestyle and socio-economic status," Health, Econometrics and Data Group (HEDG) Working Papers 05/02, HEDG, c/o Department of Economics, University of York.
- Martin Chalkley & Colin Tilley, 2006.
"Treatment intensity and provider remuneration: dentists in the British National Health Service,"
John Wiley & Sons, Ltd., vol. 15(9), pages 933-946.
- Martin Chalkley & Colin Tilley, 2002. "Treatment Intensity and Provider Remuneration: Dentists in the British National Health Service," Dundee Discussion Papers in Economics 135, Economic Studies, University of Dundee.
- Rashad, Inas & Kaestner, Robert, 2004. "Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors," Journal of Health Economics, Elsevier, vol. 23(3), pages 493-503, May.
- Canice Prendergast, 1999. "The Provision of Incentives in Firms," Journal of Economic Literature, American Economic Association, vol. 37(1), pages 7-63, March.
- Mundlak, Yair, 1978. "On the Pooling of Time Series and Cross Section Data," Econometrica, Econometric Society, vol. 46(1), pages 69-85, January.
- Mooney, Gavin & Ryan, Mandy, 1993. "Agency in health care: Getting beyond first principles," Journal of Health Economics, Elsevier, vol. 12(2), pages 125-135, July.
- Steven Simoens & Antonio Giuffrida, 2004. "The Impact of Physician Payment Methods on Raising the Efficiency of the Healthcare System: An International Comparison," Applied Health Economics and Health Policy, Springer Healthcare | Adis, vol. 3(1), pages 39-46.
- M. Lippi Bruni & L. Nobilio & C. Ugolini, 2007. "Economic Incentives in General Practice: the Impact of Pay for Participation Programs on Diabetes Care," Working Papers 607, Dipartimento Scienze Economiche, Universita' di Bologna.
- Patrick Francois & Michael Vlassopoulos, 2008. "Pro-social Motivation and the Delivery of Social Services," CESifo Economic Studies, CESifo, vol. 54(1), pages 22-54, March.
- Cappellari, Lorenzo & Jenkins, Stephen P., 2006.
"Calculation of Multivariate Normal Probabilities by Simulation, with Applications to Maximum Simulated Likelihood Estimation,"
IZA Discussion Papers
2112, Institute for the Study of Labor (IZA).
- Lorenzo Cappellari & Stephen P. Jenkins, 2006. "Calculation of multivariate normal probabilities by simulation, with applications to maximum simulated likelihood estimation," Stata Journal, StataCorp LP, vol. 6(2), pages 156-189, June.
- Lorenzo Cappellari & Stephen P. Jenkins, 2006. "Calculation of Multivariate Normal Probabilities by Simulation, with Applications to Maximum Simulated Likelihood Estimation," Discussion Papers of DIW Berlin 584, DIW Berlin, German Institute for Economic Research.
- Hugh Gravelle & Matt Sutton & Ada Ma, 2008. "Doctor Behaviour Under a Pay for Performance Contract: Further Evidence from the Quality and Outcomes Framework," Working Papers 034cherp, Centre for Health Economics, University of York.
- Bruno S. Frey & Reto Jegen, 2000. "Motivation Crowding Theory: A Survey of Empirical Evidence," CESifo Working Paper Series 245, CESifo Group Munich.
- Scott, Anthony & Shiell, Alan, 1997. "Do fee descriptors influence treatment choices in general practice? A multilevel discrete choice model," Journal of Health Economics, Elsevier, vol. 16(3), pages 323-342, June.
- Chiara Monfardini & Rosalba Radice, 2008. "Testing Exogeneity in the Bivariate Probit Model: A Monte Carlo Study," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 70(2), pages 271-282, 04.
- Gertler, Paul & Vermeerch, Christel, 2013.
"Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes,"
Institute for Research on Labor and Employment, Working Paper Series
qt9qn9q7ph, Institute of Industrial Relations, UC Berkeley.
- Paul Gertler & Christel Vermeersch, 2013. "Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes," NBER Working Papers 19046, National Bureau of Economic Research, Inc.
- Anthony Scott & William Coote, 2010. "Do regional primary-care organisations influence primary-care performance? A dynamic panel estimation," Health Economics, John Wiley & Sons, Ltd., vol. 19(6), pages 716-729.
- Gianluca Fiorentini & Elisa Iezzi & Matteo Lippi Bruni & Cristina Ugolini, 2011.
"Incentives in primary care and their impact on potentially avoidable hospital admissions,"
The European Journal of Health Economics,
Springer, vol. 12(4), pages 297-309, August.
- G. Fiorentini & E. Iezzi & M. Lippi Bruni & C. Ugolini, 2009. "Incentives In Primary Care and Their Impact on Potentially Avoidable Hospital Admissions," Working Papers 660, Dipartimento Scienze Economiche, Universita' di Bologna.
- G. Fiorentini & M. Lippi Bruni & C. Ugolini, 2012.
"GPs and hospital expenditures. Should we keep expenditure containment programs alive?,"
wp829, Dipartimento Scienze Economiche, Universita' di Bologna.
- Fiorentini, Gianluca & Lippi Bruni, Matteo & Ugolini, Cristina, 2013. "GPs and hospital expenditures. Should we keep expenditure containment programs alive?," Social Science & Medicine, Elsevier, vol. 82(C), pages 10-20.
- Lippi Bruni, Matteo & Nobilio, Lucia & Ugolini, Cristina, 2009. "Economic incentives in general practice: The impact of pay-for-participation and pay-for-compliance programs on diabetes care," Health Policy, Elsevier, vol. 90(2-3), pages 140-148, May.
- de Walque, Damien & Gertler, Paul J & Bautista-Arredondo, Sergio & Kwan, Ada & Vermeersch, Christel & de Dieu Bizimana, Jean & Binagwaho, Agnes & Condo, Jeanine, 2013. "Using provider performance incentives to increase HIV testing and counseling services in Rwanda," Policy Research Working Paper Series 6364, The World Bank.
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