title: Participating physician preferences regarding a pay-for-performance incentive design: a discrete choice experiment.
abstract: OBJECTIVE
  To determine whether the magnitude of incentives or other design attributes should be prioritized and the most important attributes, according to physicians, of the diabetes P4P (pay-for-performance) program design.
  
  
  METHODS
  We implemented a discrete choice experiment (DCE) to elicit the P4P incentive design-related preferences of physicians.
  
  
  METHODS
  All of the physicians (n = 248) who participated in the diabetes P4P program located in the supervisory area of the northern regional branch of the Bureau of National Health Insurance in 2009 were included. The response rate was ∼ 60%.
  
  
  RESULTS
  Our research found that the bonus type of incentive was the most important attribute, followed by the incentive structure and the investment magnitude.
  
  
  CONCLUSIONS
  Physicians may feel that good P4P designs are more important than the magnitude of the investment by the insurer. The two most important P4P designs include providing the bonus type of incentive and using pay-for-excellence plus pay-for-improvement.
authors.affiliation: Department of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan, R.O.C.
authors.forename: Tsung-Tai
authors.initials: TT
authors.lastname: Chen
authors.affiliation: Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan, R.O.C.
authors.forename: Mei-Shu
authors.initials: MS
authors.lastname: Lai
authors.affiliation: Institute of Health Policy and Management, College of Public Health, National Taiwan University, Room 635, No 17, Hsuchow Rd, Taipei, Taiwan, R.O.C.
authors.forename: Kuo-Piao
authors.initials: KP
authors.lastname: Chung
mesh_terms: D000328:Adult; D002755:Choice Behavior; D005260:Female; D006801:Humans; D008297:Male; D009313:National Health Programs; D010820:Physicians / Q000523:psychology*; D012052:Reimbursement, Incentive; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: discrete choice experiment; incentive design; pay-for-performance