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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/101743


    Title: Does pay-for-performance program increase provider's adherence to guidelines for managing hepatitis B and hepatitis C virus infection in Taiwan
    Authors: 陳慧如;Chen, Huei-Ju;Huang, Nicole;Huang, Nicole;Long-Sheng, C;Chen, Long-Sheng;Yiing-Jenq, C;Chou, Yiing-Jenq;Li, Chung-Pin;Li, Chung-Pin;Wu, Chen-Yi;Wu, Chen-Yi;張育嘉;Chang, Yu-Chia;*
    Contributors: 健康產業管理學系
    Date: 2016-08
    Issue Date: 2016-11-08 10:31:40 (UTC+8)
    Abstract: Background

    Many people are concerned about that the quality of preventive care for patients with hepatitis B virus (HBV) and hepatitis C virus (HCV) infection is suboptimal. Taiwan, a hyperendemic area of chronic HBV and HCV infection, implemented a nationwide pay-for-performance (P4P) program in 2010, which aimed to improve the preventive care provided to HBV and HCV patients by increasing physicians’ adherence to guidelines through financial incentives. The objective of this study was to evaluate the early effects of the P4P program on utilization of preventive services by HBV and HCV patients.

    Methods

    Using a quasi-experimental design with propensity score matching method, we matched the HBV and HCV patients enrolled in the P4P program with non-enrollees in 2010, resulting in 21,643 patients in each group. Generalized estimating equations was applied to examine the difference-in-difference effects of P4P program enrollment on the utilization of three guideline-recommended preventive services (regular outpatient follow-up visits, abdominal ultrasonography (US) examinations, and aspartate aminotransferase and alanine aminotransferase (AST/ALT) tests by HBV and HCV patients.

    Results

    The P4P program enrollees were significantly more likely to attend twice-annual follow-up visits, to receive recommended US examinations and AST/ALT tests, than non-enrollees.

    Conclusions

    The results of our preliminary assessment indicate that financial incentives offered by the P4P program was associated with a modest improvement in adherence to guidelines for better chronic HBV and HBC management.
    Relation: PLoS One.
    Appears in Collections:[健康產業管理學系] 期刊論文

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