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Does Pay-For-Performance Program Increase Providers Adherence to Guidelines for Managing Hepatitis B and Hepatitis C Virus Infection in Taiwan?

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Listed:
  • Huei-Ju Chen
  • Nicole Huang
  • Long-Sheng Chen
  • Yiing-Jenq Chou
  • Chung-Pin Li
  • Chen-Yi Wu
  • Yu-Chia Chang

Abstract

Background: Many people are concerned about that the quality of preventive care for patients with hepatitis B virus (HBV) and hepatitis C virus (HCV) infection is suboptimal. Taiwan, a hyperendemic area of chronic HBV and HCV infection, implemented a nationwide pay-for-performance (P4P) program in 2010, which aimed to improve the preventive care provided to HBV and HCV patients by increasing physicians’ adherence to guidelines through financial incentives. The objective of this study was to evaluate the early effects of the P4P program on utilization of preventive services by HBV and HCV patients. Methods: Using a quasi-experimental design with propensity score matching method, we matched the HBV and HCV patients enrolled in the P4P program with non-enrollees in 2010, resulting in 21,643 patients in each group. Generalized estimating equations was applied to examine the difference-in-difference effects of P4P program enrollment on the utilization of three guideline-recommended preventive services (regular outpatient follow-up visits, abdominal ultrasonography (US) examinations, and aspartate aminotransferase and alanine aminotransferase (AST/ALT) tests by HBV and HCV patients. Results: The P4P program enrollees were significantly more likely to attend twice-annual follow-up visits, to receive recommended US examinations and AST/ALT tests, than non-enrollees. Conclusions: The results of our preliminary assessment indicate that financial incentives offered by the P4P program was associated with a modest improvement in adherence to guidelines for better chronic HBV and HBC management.

Suggested Citation

  • Huei-Ju Chen & Nicole Huang & Long-Sheng Chen & Yiing-Jenq Chou & Chung-Pin Li & Chen-Yi Wu & Yu-Chia Chang, 2016. "Does Pay-For-Performance Program Increase Providers Adherence to Guidelines for Managing Hepatitis B and Hepatitis C Virus Infection in Taiwan?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-12, August.
    • Handle: RePEc:plo:pone00:0161002
    DOI: 10.1371/journal.pone.0161002
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    References listed on IDEAS

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    1. Boyoung Park & Kui Son Choi & Mina Suh & Ji-Yeon Shin & Jae Kwan Jun, 2013. "Factors Associated with Compliance with Recommendations for Liver Cancer Screening in Korea: A Nationwide Survey in Korea," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-8, June.
    2. Eijkenaar, Frank & Emmert, Martin & Scheppach, Manfred & Schöffski, Oliver, 2013. "Effects of pay for performance in health care: A systematic review of systematic reviews," Health Policy, Elsevier, vol. 110(2), pages 115-130.
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    Cited by:

    1. Yu Jingxian, 2022. "Analysis of Incentive Optimization Measures for Nurses in Public Hospitals in China," International Journal of Science and Business, IJSAB International, vol. 16(1), pages 192-210.

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