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Effects of pay-for-performance on prescription of hypertension drugs among public and private primary care providers in Sweden

Ellegård, Lina Maria LU (2020) In International journal of health economics and management 20(3). p.215-228
Abstract

This study exploits policy reforms in Swedish primary care to examine the effect of pay-for-performance (P4P) on compliance with hypertension drug guidelines among public and private health care providers. Using provider-level outcome data for 2005-2013 from the Swedish Prescription Register, providers in regions using P4P were compared to providers in other regions in a difference-in-differences analysis. The results indicate that P4P improved guideline compliance regarding prescription of angiotensin converting enzyme inhibitors and angiotensin receptor blockers. The effect was mainly driven by private providers, suggesting that policy makers should take ownership into account when designing incentives for health care providers.

Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International journal of health economics and management
volume
20
issue
3
pages
14 pages
publisher
Springer
external identifiers
  • pmid:31960248
  • scopus:85078223787
ISSN
2199-9031
DOI
10.1007/s10754-020-09278-y
project
Public Management Research
language
English
LU publication?
yes
id
1a4871f7-591c-4776-96d3-e38364fe40ce
date added to LUP
2020-01-22 12:59:03
date last changed
2024-06-12 07:33:01
@article{1a4871f7-591c-4776-96d3-e38364fe40ce,
  abstract     = {{<p>This study exploits policy reforms in Swedish primary care to examine the effect of pay-for-performance (P4P) on compliance with hypertension drug guidelines among public and private health care providers. Using provider-level outcome data for 2005-2013 from the Swedish Prescription Register, providers in regions using P4P were compared to providers in other regions in a difference-in-differences analysis. The results indicate that P4P improved guideline compliance regarding prescription of angiotensin converting enzyme inhibitors and angiotensin receptor blockers. The effect was mainly driven by private providers, suggesting that policy makers should take ownership into account when designing incentives for health care providers.</p>}},
  author       = {{Ellegård, Lina Maria}},
  issn         = {{2199-9031}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{215--228}},
  publisher    = {{Springer}},
  series       = {{International journal of health economics and management}},
  title        = {{Effects of pay-for-performance on prescription of hypertension drugs among public and private primary care providers in Sweden}},
  url          = {{http://dx.doi.org/10.1007/s10754-020-09278-y}},
  doi          = {{10.1007/s10754-020-09278-y}},
  volume       = {{20}},
  year         = {{2020}},
}