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Table 3 Characteristics of financial incentives

From: Do financial aspects affect care transitions in long-term care systems? A systematic review

Article

Type of financial incentive

Aim of the mechanism

Group targeted through mechanism

Intervention setting

Intervention country

Anell & Glenngard (2014) [26]

REWARD Pay-for-performance (use of outcome and process indicators)

No information provided

Older adults

Primary care

Sweden

Baumann et al., (2007) [27]

PENALTY For delays from hospital

Inter-agency collaboration ↑

Efficiency of discharge ↑

Discharge planning arrangements ↑

Older adults

Hospital + Social sector

United Kingdom

Birkmeyer et al., (2010) [28]

REIMBURSMENT MECHANISM

Bundled payment for care around a surgical episode

Coordination of care ↑

Quality of care ↑

Cost-efficiency ↑

No specific requirement

Hospital + Primary care + other care providers

United States

Busetto et al., (2017) [29]

REIMBURSMENT MECHANISM G-DRG -For the integrated care intervention + obligatory number of treatment sessions

Effectiveness ↑

Efficiency ↑

Patient centeredness ↑

Satisfaction ↑

Safety ↑

Older adults

Hospital

Germany

Briggs & Carvalho (2018) [30]

Information not provided

Information not provided

Older adults

Information not provided

Information not provided

Chen & Cheng (2016) [31]

REWARD Pay-for-performance (For providing enhanced, guideline-based care)

Healthcare provision ↑

Continuity-of-care ↑

Healthcare outcomes ↑

With specific condition/disease

Primary care

Taiwan

Cheng, Lee & Chen (2012) [32]

REWARD Pay-for-performance (for 3 types of comprehensive visits)

Healthcare provision ↑

With specific condition/disease

Primary care

Taiwan

Pan, Kung, Chiu, Liao & Tsai (2017) [33]

REWARD Pay-for-performance (For improvement in 4 indicators, additional bonus for being the best)

Patient outcomes ↑

Quality of care ↑

With specific condition/disease

Primary care

Taiwan

Ekdahl (2013) [34]

Information not provided

Information not provided

Older adults

Information not provided

Information not provided

Fagan et al., (2010) [35]

REWARD Pay-for-performance (Bonus payment for meeting specific quality indicator goals)

Quality of care ↑

Resource use ↓

No specific requirement

Primary care

United States

Hollander & Kadiec (2015) [36]

REWARD Pay-for-performance (For providing enhanced, guideline-based care)

Annual healthcare costs ↓,

Hospital utilization ↓

With specific condition/disease

Primary care

Canada

Huitberg, Glendinning, Allebeck & Lönnroth (2005) [37]

REIMBURSMENT MECHANISM

Pooled budgets to integrate health and welfare services (social and other services)

Coordination ↑

Efficiency ↑

Flexibility in the use of resources ↑

No specific requirement

Health care providers + Social sector

United Kingdom

Kasteridis et al., (2016) [38]

REWARD Pay-for-performance (for identification and annual review of dementia patients)

Discharge process ↑

With specific condition/disease

Primary care

United Kingdom

Kim et al., (2015) [39]

REIMBURSMENT MECHANISM Prospective payments based on DRG – DRG-specific short stay threshold

Short-stays in the long-term care hospitals ↓

Unnecessary transfers ↓

requirement

Hospital

United States

 

PENALTY For short stay under the threshold

Short-stays in the long-term care hospitals ↓

Unnecessary transfers ↓

No specific No specific requirement

Hospital

United States

Laugaland, Aase & Waring (2014) [40]

PENALTY For delayed discharge from the hospital

Patient flow ↑

Delayed discharge ↓

No specific requirement

Municipality (primary care)

Norway

Nishi, Maeda & Babazono (2017) [41]

REWARD For the inter-provider care-planning

Length of stay ↓

Total charge ↓

Older adults + with specific condition/disease

Hospital

Japan

Nolan (2011) [42]

REIMBURSMENT MECHANISM Eligibility for free primary care

Avoidable hospitalizations↓

Older adults

Primary care

Ireland

Pizer & Gardner (2011) [43]

REIMBURSMENT MECHANISM Fragmented financing

Continuity-of-care ↓

Health outcomes ↓

With specific condition/disease

Primary care

United States

Yu, Tsai & Kung (2013) [44]

REWARD Pay-for-performance (for improved health outcomes)

Holistic care ↑

Emergency department visits ↓

With specific condition/disease

Primary care

Taiwan

Total

Number of studies shown in parentheses

Rewards (9)

Reimbursement mechanism (6)

Penalties (3)

 

With specific condition/disease (8)

Older adults (7)

No specific requirement (6)

Primary care (12)

Hospital (6)

Social sector (2)

Health care providers (1)

Other care providers (1)

United States (5)

Taiwan (4)

United Kingdom (3)

Sweden (1)

Japan (1)

Germany (1)

Canada (1)

Norway (1)

Ireland (1)

Information not provided (2)

  1. The sum of N per category can exceed 19 as papers can be classified into multiple sub-categories
  2. ↑ - increase, improve
  3. ↓ - decrease