Pay-for-performance in publicly financed healthcare: some international experience and considerations for Canada.
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.
Pink
George H
GH
Department of Health Policy and Administration, University of North Carolina at Chapel Hill, USA.
Brown
Adalsteinn D
AD
Studer
Melanie L
ML
Reiter
Kristin L
KL
Leatt
Peggy
P
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