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Table 4 Financial incentives – impact on measured indicators

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

Article

Financial incentives

Measurement

Impact on measured indicators

Anell & Glenngard (2014) [26]

P4P

Utilization of hospital care, number of bed-days

Information not provided

Baumann et al., (2007) [27]

Penalties for delayed discharge for responsible party

Information not provided

+

Birkmeyer et al., (2010) [28]

Episode-based payment bundling, single payment to all providers for care around surgical episode

Average total payments around inpatient surgery (hospital, physician, post-acute care)

30 days readmission

+/−

Busetto et al., (2017) [29]

Early complex geriatric rehabilitation

Effectiveness, efficiency, patient-centeredness, satisfaction, safety

–

Briggs & Carvalho (2018) [30]

Information not provided

Information not provided

Information not provided

Chen & Cheng (2016) [31]

P4P

The number of essential examinations/tests, continuity of care, health care outcomes

+

Cheng, Lee & Chen (2012) [32]

P4P

Long-term effects of P4P program, healthcare utilization - Essential examinations/tests performed at diabetes-related physician visits,

Diabetes-related hospitalizations,

Diabetes-related health care expenses

Impact on overall health care expenses, including both diabetes-related and nondiabetic-related conditions.

+

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

P4P

Mortality, patients’ physician continuity

+

Ekdahl (2013) [34]

Information not provided

Information not provided

Information not provided

Fagan et al., (2010) [35]

P4P

Quality of care for the incentivized care indicators, quality of care for the nonincentivized care indicators, utilization and medical costs incurred

+/−

Hollander & Kadiec (2015) [36]

P4P

Total annual costs of health care, number of indicators of hospital utilization

+

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

Pooled budgets to integrate health and welfare services

Coordination

Cost-effectiveness

Experiences of service users

+/−

Kasteridis et al., (2016) [38]

P4P

Likelihood of care home placement following acute hospital admission

+

Kim et al., (2015) [39]

DRG-specific short-stay threshold

Information not provided

–

Laugaland, Aase & Waring (2014) [40]

Penalties for delayed discharge

Information not provided

–

Nishi, Maeda & Babazono (2017) [41]

Regional inter-provider care-planning fee

LOS, total charge

+/−

Nolan (2011) [42]

Eligibility for free primary care

Avoidable hospitalizations

+/−

Pizer & Gardner (2011) [43]

Fragmented financing

Hospitalizations for ambulatory care sensitive conditions

+

Yu, Tsai & Kung (2013) [44]

P4P

Emergency department visits

+/−

  1. + improved
  2. +/− no effect or effect unclear
  3. - negative effect
  4. / lack of data