IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
Capitation Combined With Pay-For-Performance Improves Antibiotic Prescribing Practices In Rural China
Yip, Winnie1; Powell-Jackson, Timothy2; Chen, Wen3; Hu, Min3; Fe, Eduardo1; Hu, Mu4; Jian, Weiyan5; Lu, Ming6; Han, Wei1; Hsiao, William C.7
刊名HEALTH AFFAIRS
2014-03-01
DOI10.1377/hlthaff.2013.0702
33期:3页:502-510
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Health Care Sciences & Services ; Health Policy & Services
研究领域[WOS]Health Care Sciences & Services
关键词[WOS]HEALTH-CARE PROVIDERS ; FINANCIAL INCENTIVES ; PAYMENT REFORM ; PHYSICIANS ; SERVICES
英文摘要

Pay-for-performance in health care holds promise as a policy lever to improve the quality and efficiency of care. Although the approach has become increasingly popular in developing countries in recent years, most policy designs do not permit the rigorous evaluation of its impact. Thus, evidence of its effect is limited. In collaboration with the government of Ningxia Province, a predominantly rural area in northwest China, we conducted a matched-pair cluster-randomized experiment between 2009 and 2012 to evaluate the effects of capitation with pay-for-performance on primary care providers′ antibiotic prescribing practices, health spending, outpatient visit volume, and patient satisfaction. We found that the intervention led to a reduction of approximately 15 percent in antibiotic prescriptions and a small reduction in total spending per visit to village posts-essentially, community health clinics. We found no effect on other outcomes. Our results suggest that capitation with pay-for-performance can improve drug prescribing practices by reducing overprescribing and inappropriate prescribing. Our study also shows that rigorous evaluations of health system interventions are feasible when conducted in close collaboration with the government.

语种英语
WOS记录号WOS:000333522200023
引用统计
被引频次:27[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/60831
专题北京大学第三临床医学院
北京大学第三临床医学院_耳鼻喉科
作者单位1.Univ Oxford, Blavatnik Sch Govt, Oxford OX1 2JD, England
2.Univ London London Sch Hyg & Trop Med, Dept Global Hlth & Dev, London WC1E 7HT, England
3.Fudan Univ, Sch Publ Hlth, Shanghai 200433, Peoples R China
4.Peking Univ, Hosp 3, Beijing 100871, Peoples R China
5.Peking Univ, Sch Publ Hlth, Hlth Sci Ctr, Beijing 100871, Peoples R China
6.Peking Univ, Dept Biomed Informat, Hlth Sci Ctr, Beijing 100871, Peoples R China
7.Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
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GB/T 7714
Yip, Winnie,Powell-Jackson, Timothy,Chen, Wen,et al. Capitation Combined With Pay-For-Performance Improves Antibiotic Prescribing Practices In Rural China[J]. HEALTH AFFAIRS,2014,33(3):502-510.
APA Yip, Winnie.,Powell-Jackson, Timothy.,Chen, Wen.,Hu, Min.,Fe, Eduardo.,...&Hsiao, William C..(2014).Capitation Combined With Pay-For-Performance Improves Antibiotic Prescribing Practices In Rural China.HEALTH AFFAIRS,33(3),502-510.
MLA Yip, Winnie,et al."Capitation Combined With Pay-For-Performance Improves Antibiotic Prescribing Practices In Rural China".HEALTH AFFAIRS 33.3(2014):502-510.
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