title: Pay-for-performance in publicly financed healthcare: some international experience and considerations for Canada.
abstract: Recent reports in the United States and Canada provide evidence that healthcare systems routinely fail to deliver safe and high-quality healthcare services. Governments and other healthcare payers have begun to experiment with pay-for-performance programs that offer healthcare providers and organizations financial incentives for quality. The purpose of this paper is (1) to provide an overview of the design of major pay-for-performance programs in the United States, the United Kingdom, and Australia, with specific focus on government-sponsored programs, and (2) to articulate some considerations for potential implementation of pay-for-performance in Canada.
authors.affiliation: Department of Health Policy and Administration, University of North Carolina at Chapel Hill, USA.
authors.forename: George H
authors.initials: GH
authors.lastname: Pink
authors.forename: Adalsteinn D
authors.initials: AD
authors.lastname: Brown
authors.forename: Melanie L
authors.initials: ML
authors.lastname: Studer
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Reiter
authors.forename: Peggy
authors.initials: P
authors.lastname: Leatt
mesh_terms: D001315:Australia; D002170:Canada; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration*; D010816:Physician Incentive Plans / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*; D012052:Reimbursement, Incentive / Q000458:organization & administration*; D012201:Reward; D006113:United Kingdom; D014481:United States