Effect of Pay-for-Performance Incentives on Quality of Care in Small Practices With Electronic Health Records: A Randomized Trial

IMPORTANCE Most evaluations of pay-for-performance (P4P) incentives have focused on large-group practices. Thus, the effect of P4P in small practices, where many US residents receive care, is largely unknown. Furthermore, whether electronic health records (EHRs) with chronic disease management capab...

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Veröffentlicht in:	JAMA : the journal of the American Medical Association 2013-09, Vol.310 (10), p.1051-1059
Hauptverfasser:	Bardach, Naomi S, Wang, Jason J, De Leon, Samantha F, Shih, Sarah C, Boscardin, W. John, Goldman, L. Elizabeth, Dudley, R. Adams
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Biological and medical sciences Cardiovascular Diseases - prevention & control Cardiovascular Diseases - therapy Chronic Disease - therapy Clinical medicine Clinical outcomes Disease Management Electronic health records Electronic Health Records - utilization Female General aspects Group Practice - statistics & numerical data Health participants Humans Hypertension - prevention & control Hypertension - therapy Male Medical sciences Middle Aged Miscellaneous New York City Pay for performance Physicians Practice Patterns, Physicians Primary Health Care Public health. Hygiene Public health. Hygiene-occupational medicine Quality Improvement Quality of care Registries Reimbursement, Incentive Smoking Cessation
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Zusammenfassung:	IMPORTANCE Most evaluations of pay-for-performance (P4P) incentives have focused on large-group practices. Thus, the effect of P4P in small practices, where many US residents receive care, is largely unknown. Furthermore, whether electronic health records (EHRs) with chronic disease management capabilities support small-practice response to P4P has not been studied. OBJECTIVE To assess the effect of P4P incentives on quality in EHR-enabled small practices in the context of an established quality improvement initiative. DESIGN, SETTING, AND PARTICIPANTS A cluster-randomized trial of small (
ISSN:	0098-7484 1538-3598
DOI:	10.1001/jama.2013.277353