Pay for performance, public reporting, and racial disparities in health care - How are programs being designed?

被引:95
作者
Chien, Alyna T. [1 ]
Chin, Marshall H. [1 ]
Davis, Andrew M. [1 ]
Casalino, Lawrence P. [1 ]
机构
[1] Univ Chicago, Chicago, IL 60637 USA
关键词
performance incentives; pay for performance; public reporting; racial; disparities; quality;
D O I
10.1177/1077558707305426
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Pay-for-performance and public reporting programs may have a neutral, narrowing, or widening effect on racial disparities in health care. The authors begin this article by suggesting that certain characteristics of these programs may affect disparities. They then present results from a systematic review of the literature on the effects of performance incentive programs on racial disparities in health care. The review revealed that only one empirical study provided data on this issue: It showed that a major public reporting program increased disparities in coronary artery bypass graft rates. The authors then present the results of interviews with leaders of 15 major performance incentive programs in the United States. The interviews indicated that current programs are not designed to reduce disparities and often lack characteristics that may be important in reducing disparities. The article concludes with program leaders' recommendations on how performance incentive programs could be designed to reduce disparities.
引用
收藏
页码:283S / 304S
页数:22
相关论文
共 70 条
[1]  
*AG HEALTHC QUAL R, 2003, NATL HEALTHC DISP RE
[2]  
[Anonymous], 2001, CROSS QUAL CHASM NEW
[3]  
Areán PA, 2005, MED CARE, V43, P381
[4]   Primary care physicians who treat blacks and whites [J].
Bach, PB ;
Pham, HH ;
Schrag, D ;
Tate, RC ;
Hargraves, JL .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (06) :575-584
[5]   Incentive implementation in physician practices: A qualitative study of practice executive perspectives on pay for performance [J].
Bokhour, BG ;
Burgess, JF ;
Hook, JM ;
White, B ;
Berlowitz, D ;
Guldin, MR ;
Meterko, M ;
Young, GJ .
MEDICAL CARE RESEARCH AND REVIEW, 2006, 63 (01) :73S-95S
[6]  
*BRIDG EXC, 2007, BTE OV
[7]   Will pay-for-performance and quality reporting affect health care disparities? [J].
Casalino, Lawrence P. ;
Elster, Arthur .
HEALTH AFFAIRS, 2007, 26 (03) :W405-W414
[8]  
CHIEN AT, 2007, ELIMINATING HEALTHCA
[9]   Interventions to reduce racial and ethnic disparities in health care [J].
Chin, Marshall H. ;
Walters, Amy E. ;
Cook, Scott C. ;
Huang, Elbert S. .
MEDICAL CARE RESEARCH AND REVIEW, 2007, 64 (05) :7S-28S
[10]   Reducing racial and ethnic disparities in health care: an integral part of quality improvement scholarship [J].
Chin, MH ;
T Chien, A .
QUALITY & SAFETY IN HEALTH CARE, 2006, 15 (02) :79-80