NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

Dudley RA, Frolich A, Robinowitz DL, et al. Strategies To Support Quality-based Purchasing: A Review of the Evidence. Rockville (MD): Agency for Healthcare Research and Quality (US); 2004 Jul. (Technical Reviews, No. 10.)

Cover of Strategies To Support Quality-based Purchasing

Strategies To Support Quality-based Purchasing: A Review of the Evidence.

Show details

References and Included Studies

Kohn LT, Corrigan J, Donaldson M, (eds). To Err is Human: Building a Safer Health Care System. Washington, D.C: National Academy Press; 1999.
Jha A K, Perlin J B, Kizer K W, Dudley R A. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348(22):2218–2227. [PubMed: 12773650]
McGlynn E A, Asch S M, Adams J. et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–2645. [PubMed: 12826639]
Dudley R A, Luft H S. Managed care in transition. N Engl J Med. 2001;344(14):1087–1092. [PubMed: 11287981]
Mehrotra A, Bodenheimer T, Dudley R A. Employers' efforts to measure and improve hospital quality: determinants of success. Health Affairs. 2003;22(2):60–71. [PubMed: 12674408]
Bindman A B. Can physician profiles be trusted? JAMA. 1999;281(22):2142–2143. [PubMed: 10367827]
Hofer T P, Hayward R A, Greenfield S, Wagner E H, Kaplan S H, Manning W G. The unreliability of individual physician “Report Cards” for assessing the costs and quality of care of a chronic disease. JAMA. 1999;281:2098–2105. [PubMed: 10367820]
Thomas J W, Hofer T P. Accuracy of risk-adjusted mortality rate as a measure of hospital quality of care. Medical Care. 1999 January;37(1):83–92. [PubMed: 10413396]
Marshall M N, Shekelle P G, Leatherman S, Brook R H. The public release of performance data: what do we expect to gain? A review of the evidence. JAMA. 2000;283(14):1866–1874. [PubMed: 10770149]
Marshall M N, Shekelle P G, Davies H T, Smith P C. Public reporting on quality in the United States and the United Kingdom. Health Affairs. 2003;22(3):134–148. [PubMed: 12757278]
McLaughlin C. Health Care Consumers: Choices and Constraints. Med Care Res Rev. 1999;56(Suppl 1):24–59. [PubMed: 10354678]
Galvin R, Milstein A. Large employers' new strategies in health care. N Engl J Med. 2002;347(12):939–942. [PubMed: 12239267]
Wetzel S, Galvin R, Buck C J. et al. Taking a giant leap forward in promoting quality. Health Aff. 2000;19(2):275–276. [PubMed: 10718045]
Jencks S F, Huff E D, Cuerdon T. Change in the quality of care delivered to medicare beneficiaries, 1998-1999 to 2000-2001. JAMA. 2003;289:305–312. [PubMed: 12525231]
Jack W. Contracting for health services: an evaluation of recent reforms in Nicaragua. Health Policy and Planning. 2003;18(2):195–204. [PubMed: 12740324]
Eichler R, Auxilia P, Pollock J. Performance-based payment to improve the impact of health services: evidence from Haiti. World Bank Institute Online Journal. April 15, 2001. Available at: www​​/healthflagship/oj_haiti.pdf. Accessed February 23, 2004.
Corrigan JM, Donaldson MS, Kohn LT, (eds). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academy Press; 2001.
Hillman A L, Ripley K, Goldfarb N, Nuamah I, Weiner J, Lusk E. Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care. Am J Public Health. 1998 Nov;88(11):1699–1701. [PMC free article: PMC1508575] [PubMed: 9807540]
Miller R, Luft H. HMO plan performance update: an analysis of the literature, 1997-2001. Health Aff. 2002;21(4):63–86. [PubMed: 12117154]
Dudley RA, Miller RH, Korenbrot TY, Luft HS. The impact of financial incentives on quality of health care. Milbank Q. 1998;76(4):649–686, 511. [PMC free article: PMC2751095] [PubMed: 9879306]
Dranove D, White W D. Agency and the organization of health care delivery. Inquiry. 1987;24(4):405–415. [PubMed: 2961701]
Robinson J C. Theory and practice in the design of physician payment incentives. Milbank Q. 2001;79(2):149–177. [PMC free article: PMC2751195] [PubMed: 11439463]
Hellinger F J. The effect of managed care on quality: a review of recent evidence. Arch Intern Med. 1998 Apr 27;158(8):833–841. [PubMed: 9570168]
Hutchison B, Birch S, Hurley J, Lomas J, Stratford-Devai F. Do physician-payment mechanisms affect hospital utilization? A study of Health Service Organizations in Ontario. CMAJ. 1996;154(5):653–661. [PMC free article: PMC1487544] [PubMed: 8603321]
Andersen R M. Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior. 1995;36(1):1–10. [PubMed: 7738325]
Town R, Kralewski J, Wholey DR, Dowd B. Assessing the influence of incentives on physicians and medical groups. issue of Med Care Res Rev. 2004 (September). [PubMed: 15375286]
Eisenberg JM. Doctors' decisions and the cost of medical care: the reasons for doctors' practice patterns and ways to change them. Ann Arbor, MI: Health Administration Press; 1986.
Feinstein A R. The ‘chagrin factor’ and qualitative decision analysis. 145 (7):1257–9. Archives of Internal Medicine. 1985;145(7):1257–1259. [PubMed: 4015276]
Loomes G, Sugden R. Regret theory: An alternative theory of rational choice under uncertainty. 92 (368):805–824. Economic Journal. 1982;92(368):805–824.
Frey B S. On the Relationship between Intrinsic and Extrinsic Work Motivation. International Journal of Industrial Organization. 1997;15:427–439.
Kuhn M. Quality in Primary Care: Economic Approaches to Analysing Quality-Related Physician Behavior. London: Office of Health Economics; 2003 (August).
Christensen D B, Hansen R W. Characteristics of pharmacies and pharmacists associated with the provision of cognitive services in the community setting. J Am Pharm Assoc. 1999 (Sept-Oct)39(5):640–649. [PubMed: 10533345]
Christensen D B, Holmes G, Fassett W E. et al. Influence of a financial incentive on cognitive services: CARE project design/implementation. J Am Pharm Assoc (Wash) 1999 Sep-Oct;39(5):629–639. [PubMed: 10533344]
Kouides R W, Bennett N M, Lewis B, Cappuccio J D, Barker W H, LaForce F M. Performance-based physician reimbursement and influenza immunization rates in the elderly. The Primary-Care Physicians of Monroe County. Am J Prev Med. 1998 Feb;14(2):89–95. [PubMed: 9631159]
Amundson G, Solberg L I, Reed M, Martini E M, Carlson R. Paying for quality improvement: compliance with tobacco cessation guidelines. Jt Comm J Qual Saf. 2003 Feb;29(2):59–65. [PubMed: 12616920]
Newacheck P W, McManus M A, Gephart J. Health insurance coverage of adolescents: a current profile and assessment of trends. Pediatrics. 1992 Oct;90(4):589–596. [PubMed: 1408514]
Fairbrother G, Siegel M J, Friedman S, Kory P D, Butts G C. Impact of financial incentives on documented immunization rates in the inner city: results of a randomized controlled trial. Ambul Pediatr. 2001 Jul-Aug;1(4):206–212. [PubMed: 11888402]
Hillman A L, Ripley K, Goldfarb N, Weiner J, Nuamah I, Lusk E. The use of physician financial incentives and feedback to improve pediatric preventive care in Medicaid managed care. Pediatrics. 1999 Oct;104(4 Pt 1):931–935. [PubMed: 10506237]
Grumbach K, Osmond D, Vranizan K, Jaffe D, Bindman A B. Primary care physicians' experience of financial incentives in managed-care systems. N Engl J Med. 1998 Nov 19;339(21):1516–1521. [PubMed: 9819451]
Hadley J, Mitchell J M, Sulmasy D P, Bloche M G. Perceived financial incentives, HMO market penetration, and physicians' practice styles and satisfaction. Health Serv Res. 1999 Apr;34(1 Pt 2):307–321. [PMC free article: PMC1089003] [PubMed: 10199677]
Pantilat S Z, Chesney M, Lo B. Effect of incentives on the use of indicated services in managed care. West J Med. 1999 Mar;170(3):137–142. [PMC free article: PMC1305530] [PubMed: 10214099]
Hillman A L, Pauly M V, Kerstein J J. How do financial incentives affect physicians' clinical decisions and the financial performance of health maintenance organizations? N Engl J Med. 1989 Jul 13;321(2):86–92. [PubMed: 2733758]
Hickson G B, Altemeier W A, Perrin J M. Physician reimbursement by salary or fee-for-service: effect on physician practice behavior in a randomized prospective study. Pediatrics. 1987 Sep;80(3):344–350. [PubMed: 3627885]
Landon B E, Reschovsky J, Reed M, Blumenthal D. Personal, organizational, and market level influences on physicians' practice patterns: results of a national survey of primary care physicians. Med Care. 2001 Aug;39(8):889–905. [PubMed: 11468507]
Mort E A, Edwards J N, Emmons D W, Convery K, Blumenthal D. Physician response to patient insurance status in ambulatory care clinical decision-making. Implications for quality of care. Med Care. 1996 Aug;34(8):783–797. [PubMed: 8709660]
Chaix-Couturier C, Durand-Zaleski I, Jolly D, Durieux P. Effects of financial incentives on medical practice: results from a systematic review of the literature and methodological issues. Int J Qual Health Care. 2000 Apr;12(2):133–142. [PubMed: 10830670]
Wee C C, Phillips R S, Burstin H R. et al. Influence of financial productivity incentives on the use of preventive care. Am J Med. 2001 Feb 15;110(3):181–187. [PubMed: 11182103]
Krasnik A, Groenewegen P P, Pedersen P A. et al. Changing remuneration systems: effects on activity in general practice. BMJ. 1990;300(6741):1698–1701. [PMC free article: PMC1663335] [PubMed: 2390552]
Conrad D A, Cave S H, Lucas M. et al. Community care networks: linking vision to outcomes for community health improvement. Med Care Res Rev. 2003;60(4 Suppl):95–129. [PubMed: 14687431]
Fisher E S, Wennberg J E. Health care quality, geographic variations, and the challenge of supply-sensitive care. Perspect Biol Med. 2003;46(1):69–79. [PubMed: 12582271]
Baker L C. Managed care spillover effects. Annu Rev Public Health. 2003;24:435–456. [PubMed: 12471276]
Nyman J A, Akhtar M R, Feldman R. Does publishing the parameters that trigger review of Medicare claims change provider behavior? Results of the parameter release study. Med Care. 1995 Oct;33(10):1022–1034. [PubMed: 7475401]
Hellinger F J. The impact of financial incentives on physician behavior in managed care plans: a review of the evidence. Med Care Res Rev. 1996 Sep;53(3):294–314. [PubMed: 10159930]
Hoopmann M, Schwartz F W, Weber J. Effects of the German 1993 health reform law upon primary care practitioners' individual performance: results from an empirical study in sentinel practices. J Epidemiol Community Health. 1995;49(Suppl 1):33–36. [PMC free article: PMC1060867] [PubMed: 7561668]
Lurie N, Christianson J, Finch M, Moscovice I. The effects of capitation on health and functional status of the Medicaid elderly. A randomized trial. Ann Intern Med. 1994 Mar 15;120(6):506–511. [PubMed: 8311374]
Born P H, Simon C J. Patients and profits: the relationship between HMO financial performance and quality of care. Health Aff (Millwood) 2001 Mar-Apr;20(2):167–174. [PubMed: 11260940]
Stern R S, Juhn P I, Gertler P J, Epstein A M. A comparison of length of stay and costs for health maintenance organization and fee-for-service patients. Arch Intern Med. 1989 May;149(5):1185–1188. [PubMed: 2497713]
Walley T, Murphy M, Codd M, Johnston Z, Quirke T. Effects of a monetary incentive on primary care prescribing in Ireland: changes in prescribing patterns in one health board 1990-1995. Pharmacoepidemiol Drug Saf. 2000 Dec;9(7):591–598. [PubMed: 11338918]
Davidson S M, Manheim L M, Werner S M, Hohlen M M, Yudkowsky B K, Fleming G V. Prepayment with office-based physicians in publicly funded programs: results from the Children's Medicaid Program. Pediatrics. 1992 Apr;89(4 Pt 2):761–767. [PubMed: 1557274]
Roski J, Jeddeloh R, An L. et al. The impact of financial incentives and a patient registry on preventive care quality: increasing provider adherence to evidence-based smoking cessation practice guidelines. Prev Med. 2003 Mar;36(3):291–299. [PubMed: 12634020]
Hibbard J H, Stockard J, Tusler M. Does publicizing hospital performance stimulate quality improvement efforts? Health Aff (Millwood) 2003 Mar-Apr;22(2):84–94. [PubMed: 12674410]
Giuffrida A, Gosden T, Forland F, et al. Target payments in primary care: effects on professional practice and health outcome (Cochrane Review). The Cochrane Library. 2002(4). [PubMed: 10908475]
Gosden T, Forland F, Kristiansen IS, et al. Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians. Cochrane Database Syst Rev. 2000(3):CD002215. [PubMed: 10908531]
Jarlier A, Charvet-Protat S. Can improving quality decrease hospital costs? Int J Qual Health Care. 2000 Apr;12(2):125–131. [PubMed: 10830669]
Seidman J J, Bass E P, Rubin H R. Review of studies that compare the quality of cardiovascular care in HMO versus non-HMO settings. Med Care. 1998 Dec;36(12):1607–1625. [PubMed: 9860052]
Luft H S, Hunt S S. Evaluating Individual Hospital Quality through Outcome Statistics. JAMA. 1986 May 23/30;255(20):2780–2784. [PubMed: 3701992]
Healthcare Quality and Analysis Division. Report on Heart Attack Outcomes in California 1996-1998. Volume 1: User's Guide. Sacramento: California Office of Statewide Health Planning and Development; 2002.
Healthcare Quality and Analysis Division. Report on Heart Attack Outcomes in California 1996-1998. Volume 3: Detailed Statistical Results. Sacramento: California Office of Statewide Health Planning and Development; 2002.
Romano PS, Luft HS, Remy L. Second Report of the California Hospital Outcomes Project on Acute Myocardial Infarction. Volume Two: Technical Appendix. Sacramento, CA: California Office of Statewide Health Planning and Development; May 1996.
Dziuban S W J, McIlduff J B, Miller S J, Dal Col R H. How a New York cardiac surgery program uses outcomes data. Ann Thorac Surg. 1994;58(6):1871–1876. [PubMed: 7979785]
Scanlon DP. Overcoming Barriers to managing Health and Productivity in the Workplace. In: Kessler RC, Stang PD, eds. Health and Productivity: Emerging Issues in Research & Policy. Chicago: University of Chicago Press; in press.
Ittner CD, Larcker DF. Coming up short on nonfinancial performance measurement. Harv Bus Rev. 2003;81(11 (Nov)):88–95, 139. [PubMed: 14619154]
Bookshelf ID: NBK44004


  • PubReader
  • Print View
  • Cite this Page
  • PDF version of this title (1.7M)

Related information

  • PMC
    PubMed Central citations
  • PubMed
    Links to PubMed

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...