The Economics of Health and Health Care

Folland, Sherman; Goodman, Allen C.; Stano, Miron

doi:10.4324/9781315101781

Cited by 232 publications

(148 citation statements)

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“…This is commonly referred to as the Target Income Hypothesis and if valid, it means that increasing the size of incentive would result in an increase in performance only until the clinicians reach their target income after which, increasing the size of incentive may not increase it any further and indeed may reduce performance. Desquins and colleagues [50] found that 80% of physicians would be willing to perform better to reach a target income, a finding supported by other researchers [51, 52]. Those developing P4P schemes, therefore, should have an idea of the average target income of the clinicians participating in the P4P programmes, for example through surveys [53].…”

Section: Resultsmentioning

confidence: 92%

A reporting framework for describing and a typology for categorizing and analyzing the designs of health care pay for performance schemes

Ogundeji

Sheldon

Maynard

2018

BMC Health Serv Res

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BackgroundPay for Performance (P4P) has increasingly being adopted in different countries as a provider payment mechanism to improve health system performance. Evaluations of pay for performance (P4P) schemes across several countries show significant variation in effectiveness, which may be explained by differences in design. There is however no reliable framework to structure the reporting of the design or a typology to help analyse and interpret results of P4P schemes. This paper reports the development of a reporting framework and a typology of P4P schemes.MethodsP4P design features were identified from literature and then explored using relevant theories from behavioural and economic science. These design features were then combined with the help of multidimensional tables to produce a reporting framework and a typology which was tested using 74 P4P studies. The inter-rater reliability of the typology was assessed using Fleiss’ Kappa.ResultsA Healthcare Incentive Scheme Reporting Framework (HISReF) was developed consisting of nine design features. This was collapsed into a typology consisting of 4 items/design features. There was good inter-rater reliability on all the four items on the typology (kappa > 0.7).ConclusionThe HISReF provides an important first step towards establishing a common language in which intervention designers can clearly specify the content of P4P designs. Our typology may be used to aid evidence synthesis and interpretation of results of P4P schemes.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3479-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 92%

A reporting framework for describing and a typology for categorizing and analyzing the designs of health care pay for performance schemes

Ogundeji

Sheldon

Maynard

2018

BMC Health Serv Res

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“…In a manner that is not consistent with the best interests of patients. [671620212223] Since consumers know far less than physicians about medical diagnosis and appropriate period of treatment, this can cause prescribing of treatments to increase income. [102425262728]…”

Section: Discussionmentioning

confidence: 99%

“…[31323334] Hansen and Folland and their colleagues focused on the effect of physicians on induced demand. [3536] These studies show the role of physician on induced demand and providing unnecessary services to a patient. It is the same as the present study.…”

Section: Discussionmentioning

confidence: 99%

Experts′ perceptions of the concept of induced demand in healthcare: A qualitative study in Isfahan, Iran

Keyvanara

Karimi

Khorasani

et al. 2014

J Edu Health Promot

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“…As the most expensive health system in the world, the United States has spent one-sixth of its final goods and service expenditures on the health sector in the second decade of the twenty-first century [11]. Meanwhile, the health systems of the EMR countries are facing the challenge of increased health expenditures [4].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the health system financing of the Eastern Mediterranean Region (EMR) countries using Grey Relation Analysis and Shannon Entropy

Pourmohammadi

Shojaei

Rahimi

et al. 2018

Cost Eff Resour Alloc

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BackgroundSufficient and sustainable financing of the health system is essential for improving the health of the community. The health systems financing of the EMR countries is facing the challenge. Assessment and ranking of healthcare financing can help identify and resolve some challenges of health systems. So, the aim of this study is to evaluate and rank the condition of the health sector financing in the EMR countries.MethodsThis study was a cross-sectional study. The data was of secondary type, extracted from the official WHO and World Bank data. The six healthcare financing indicators in a 10-year interval (2005–2014) in 19 EMR countries analyzed using Grey Relation Analysis and Shannon Entropy.ResultsOn average, the countries in the EMR region spent 4.87% of their GDP on the health sector. Jordan and Qatar allocated the highest (8.313) and the lowest (2.293) percentages of their GDP to the health sector, respectively. The results showed That Qatar was in a better condition than other EMR countries during 2005–2014 in terms of the health system financing and earned the first rank. After that, the UAE and Kuwait were ranked second and third.ConclusionsThere is a lot of inequality among the EMR countries in terms of health financing. However, our findings confirmed that only increasing the total health expenditure in a country would not improve its financing status compared to other countries, but it also depends on financing methods.Electronic supplementary materialThe online version of this article (10.1186/s12962-018-0151-6) contains supplementary material, which is available to authorized users.

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The Economics of Health and Health Care

Cited by 232 publications

References 0 publications

A reporting framework for describing and a typology for categorizing and analyzing the designs of health care pay for performance schemes

A reporting framework for describing and a typology for categorizing and analyzing the designs of health care pay for performance schemes

Experts′ perceptions of the concept of induced demand in healthcare: A qualitative study in Isfahan, Iran

Evaluating the health system financing of the Eastern Mediterranean Region (EMR) countries using Grey Relation Analysis and Shannon Entropy

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