Implementation Processes and Pay for Performance in Healthcare: A Systematic Review.

ABSTRACT:

Background

Over the last decade, various pay-for-performance (P4P) programs have been implemented to improve quality in health systems, including the VHA. P4P programs are complex, and their effects may vary by design, context, and other implementation processes. We conducted a systematic review and key informant (KI) interviews to better understand the implementation factors that modify the effectiveness of P4P.

Methods

We searched PubMed, PsycINFO, and CINAHL through April 2014, and reviewed reference lists. We included trials and observational studies of P4P implementation. Two investigators abstracted data and assessed study quality. We interviewed P4P researchers to gain further insight.

Results

Among 1363 titles and abstracts, we selected 509 for full-text revie

SUBMITTER: Kondo KK 

PROVIDER: S-EPMC4803682 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature