Performance-based physician reimbursement and influenza immunization rates in the elderly

Rw, Kouides; Nm, Bennett; Lewis, Bar’bara L.; Jd, Cappuccio; Wh, Barker; Fm, LaForce

doi:10.1016/s0749-3797(97)00028-7

Cited by 144 publications

(114 citation statements)

References 19 publications

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“…Another organisational strategy to consider with proven effectiveness in enhancing vaccination coverage, is giving financial incentives to physicians. 39 In light of these results, we conclude that vaccination strategies with demonstrated effectiveness in improving coverage among high risk groups should be implemented urgently among COPD patients. Such strategies include telephone calls or personal letters, the use of databases to identify high risk patients, improving medical record keeping, designing vaccination schedules and educating patients regarding vaccinations.…”

Section: Discussionmentioning

confidence: 89%

Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

Santos-Sancho

Jiménez‐Trujillo

Hernández-Barrera

et al. 2012

Human Vaccines & Immunotherapeutics

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Abbreviations: chronic obstructive pulmonary disease, COPDThe aim of this study is to compare influenza vaccination coverage among Spaniards aged 40 y or over who suffer from chronic obstructive pulmonary disease (COPD) with those without this illness to identify the factors that influence vaccination uptake among patients with COPD.Data was extracted from the European Health Survey performed in Spain in 2009/10, and analyzed data on 15,355 Spaniards ($ 40 y of age), of whom 1,309 (8.2% 95% CI 7.7-8.7) had COPD was used. We considered the answer (yes/no) to the question about whether or not the interviewed person had been vaccinated against influenza in the previous flu season. We used the answer to this question as the dependent variable. For independent variables, we analyzed social demographic characteristics, health related variables, and the utilization of health care services.Vaccination coverage among patients with COPD is 49.4% (95% CI: 46.3-52.5%) and 21.3% (95% CI: 20.7-21.9) among people without (p , 0.001). The probability of being vaccinated is three times greater for COPD patients (crude OR = 3.0, 95% CI: 2.6-3.5). Among COPD patients the uptake of vaccination increased with age. Other factors associated with an increase in vaccination coverage were: being male, perceiving one's health as fair or poor, not smoking and having seen a doctor during the previous month.The rate of flu vaccination among adult Spaniards with COPD is lower than desired. Urgent strategies for increasing vaccination coverage are necessary for COPD sufferers aged under 65 of age and those with unhealthy lifestyles.

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Section: Discussionmentioning

confidence: 89%

Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

Santos-Sancho

Jiménez‐Trujillo

Hernández-Barrera

et al. 2012

Human Vaccines & Immunotherapeutics

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“…Kouides et al (1998) find that modest P4P incentives lead to a significant increase in the influenza immunization rate among the ambulatory elderly in the United States. Lindenauer et al (2007) show that U.S. hospitals participating in a P4P program and public reporting show modestly larger improvements in quality of care over a two-year period than hospitals participating only in public reporting.…”

Section: Literature Reviewmentioning

confidence: 90%

Money Talks - Paying Physicians for Performance

2013

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“…The reason was that physicians participated in many plans, so the bonus for healthcare management alternatives members alone may not have had the necessary impact on physicians' overall income [56]. In some P4P systems, physicians are rewarded for high delivery of care with no punishment, whereas other programs put the physician in risk with not paying until the physician achieves the predefined target [57]. Although P4P programs are designed to encourage providers to provide high-quality in a cost-effective manner, even so, on the other hand, some questions such as the lack of effect, unintended outcomes, adverse selection, disparities, ethical issues, etc.…”

Section: Discussionmentioning

confidence: 99%

Impact of Pay-for-Performance on Efficiency and Effectiveness in Hospitals: A Systematic Review

et al. 2014

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Ab s t r a c tPurpose: Pay-for-performance (P4P) refers to the transfer of money on taking a measurable action or achieving a predetermined performance target. In this systematic review, we will present the results of P4P impacts based on published articles. Methods:A systematic review of literature was done using following databases and search engines: PubMed, Web of knowledge, Sciencedirect, The Cochrane library, MagIran and SID. Keywords used were, Pay-for-performance, P4P, output based payment, result based payment, financial incentives, value based purchasing, effectiveness, efficiency, cost, quality, patient satisfaction, provider satisfaction, mortality, length of stay, clinical outcomes, charges, access, hospitalization, equity, patient outcome, outcome of care. No limitations were considered for time of publishing studies, and searching articles was continued until February 2013. Only impact of P4P on physicians and nurses in hospitals were considered. The literature search yielded 7172 records, of which 34 met our inclusion criteria. Results:Thirty-four studies were included in this systematic review taking part in different countries and settings with different type of studies. P4P effects can be judged to be encouraging or disappointing, depending on the design choices and characteristics of the context in which it was introduced. Conclusion:The impact of P4P targeting physicians and nurses seems to be positive on most of the effectiveness and efficiency indicators. However, implementation of P4P should be accompanied by robust evaluation plans.

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Performance-based physician reimbursement and influenza immunization rates in the elderly

Cited by 144 publications

References 19 publications

Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

Money Talks - Paying Physicians for Performance

Impact of Pay-for-Performance on Efficiency and Effectiveness in Hospitals: A Systematic Review

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