Show simple item record

dc.contributor.authorMcManus, Emma; orcid: 0000-0002-3442-8721; email: emma.mcmanus@manchester.ac.uk
dc.contributor.authorElliott, Jack; orcid: 0000-0002-2950-3619
dc.contributor.authorMeacock, Rachel; orcid: 0000-0001-8933-5058
dc.contributor.authorWilson, Paul; orcid: 0000-0002-2657-5780
dc.contributor.authorGellatly, Judith; orcid: 0000-0002-5134-5581
dc.contributor.authorSutton, Matt; orcid: 0000-0002-6635-2127
dc.date.accessioned2021-05-21T07:19:20Z
dc.date.available2021-05-21T07:19:20Z
dc.date.issued2021-03-30
dc.date.submitted2020-05-22
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624657/hec.4262.pdf?sequence=2
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624657/hec.4262.xml?sequence=3
dc.identifier.citationHealth Economics, volume 30, issue 6, page 1393-1416
dc.identifier.urihttp://hdl.handle.net/10034/624657
dc.descriptionFrom Wiley via Jisc Publications Router
dc.descriptionHistory: received 2020-05-22, rev-recd 2021-02-09, accepted 2021-02-17, pub-electronic 2021-03-30, pub-print 2021-06
dc.descriptionArticle version: VoR
dc.descriptionPublication status: Published
dc.descriptionFunder: Health Services and Delivery Research Programme; Id: http://dx.doi.org/10.13039/501100002001; Grant(s): 16/48/07
dc.description.abstractAbstract: Despite widespread use, evidence is sparse on whether financial incentives in healthcare should be linked to structure, process or outcome. We examine the impact of different incentive types on the quantity and effectiveness of referrals made by general practices to a new national prevention programme in England. We measured effectiveness by the number of referrals resulting in programme attendance. We surveyed local commissioners about their use of financial incentives and linked this information to numbers of programme referrals and attendances from 5170 general practices between April 2016 and March 2018. We used multivariate probit regressions to identify commissioner characteristics associated with the use of different incentive types and negative binomial regressions to estimate their effect on practice rates of referral and attendance. Financial incentives were offered by commissioners in the majority of areas (89%), with 38% using structure incentives, 69% using process incentives and 22% using outcome incentives. Compared to practices without financial incentives, neither structure nor process incentives were associated with statistically significant increases in referrals or attendances, but outcome incentives were associated with 84% more referrals and 93% more attendances. Outcome incentives were the only form of pay‐for‐performance to stimulate more participation in this national disease prevention programme.
dc.languageen
dc.rightsLicence for VoR version of this article: http://creativecommons.org/licenses/by/4.0/
dc.sourceissn: 1057-9230
dc.sourceissn: 1099-1050
dc.subjectRESEARCH ARTICLE
dc.subjectRESEARCH ARTICLES
dc.subjectdiabetes
dc.subjectfinancial incentives
dc.subjectpay‐for‐performance
dc.subjectprevention
dc.subjectprimary care
dc.subjectreferrals
dc.titleThe effects of structure, process and outcome incentives on primary care referrals to a national prevention programme
dc.typearticle
dc.date.updated2021-05-21T07:19:19Z
dc.date.accepted2021-02-17


Files in this item

Thumbnail
Name:
hec.4262.pdf
Size:
775.6Kb
Format:
PDF
Thumbnail
Name:
hec.4262.xml
Size:
8.794Kb
Format:
XML

This item appears in the following Collection(s)

Show simple item record