Journal article

Is the evidence on the effectiveness of pay for performance schemes in healthcare changing? Evidence from a meta-regression analysis

Arezou Zaresani, Anthony Scott

BMC Health Services Research | BMC | Published : 2021

Abstract

BACKGROUND: This study investigated if the evidence on the success of the Pay for Performance (P4P) schemes in healthcare is changing as the schemes continue to evolve by updating a previous systematic review. METHODS: A meta-regression analysis using 116 studies evaluating P4P schemes published between January 2010 to February 2018. The effects of the research design, incentive schemes, use of incentives, and the size of the payment to revenue ratio on the proportion of statically significant effects in each study were examined. RESULTS: There was evidence of an increase in the range of countries adopting P4P schemes and weak evidence that the proportion of studies with statistically signif..

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