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The Response of Ontario Primary Care Physicians to Pay-for-Performance Incentives

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posted on 2011-01-01, 00:00 authored by Jeremiah Hurley, Phil DeCicca, Jinhu Li, Gioia Buckley

Beginning in 1999, Ontario introduced pay-for-performance incentives for selected preventive primary care services and defined sets of other services provided by family physicians, with the goal of improving the quality of patient care. These performance incentives were considerably expanded in 2004. At the request of the Ministry and as part of the collaborative research program between the Ontario Ministry of Health and Long-Term Care (MOHLTC) and the Centre for Health Economics and Policy Analysis (CHEPA), CHEPA researchers undertook an evaluation of the effect of performance incentives on service provision in Ontario. This report presents the results of that evaluation.

History

Volume

Paper 11-02

Pagination

1-207

Start date

2011-01-01

Language

eng

Research statement

Background Beginning in 1999, Ontario introduced pay-for-performance incentives for selected preventive primary care services and defined sets of other services provided by family physicians, with the goal of improving the quality of patient care. These performance incentives were considerably expanded in 2004. At the request of the Ministry and as part of the collaborative research program between the Ontario Ministry of Health and Long-Term Care (MOHLTC) and the Centre for Health Economics and Policy Analysis (CHEPA), CHEPA researchers undertook an evaluation of the effect of performance incentives on service provision in Ontario. This report presents the resul Contribution This research was funded by the grant from the Ontario Ministry of Health and Long-Term Care to the Centre for Health Economics and Policy Analysis as part of their collaborative research program. We thank Marsha Barnes for initially sponsoring this project. We are greatly indebted to Delia D’Amore of the Ontario Ministry of Health and Long-Term Care for sharing her time and expertise answering our many questions regarding the data and the Ministry’s administrative processes related to payment policies and regulations. [See more via Acknowledgements]. participants at the annual meeting of the Canadian Health Economic Significance The Centre for Health Economics and policy Analysis (CHEPA) Working Paper Series provides for the circulation on a pre-publication basis of research conducted by CHEPA faculty, staff and students. The Working Paper Series is intended to stimulate discussion on analytical, methodological, quantitative, and policy issues in health economics and health policy analysis. The views expressed in the papers are the views of the author(s) and do not necessarily reflect the views of the Centre or its sponsors. Readers of Working Papers are encouraged to contact the author(s) with comments, criticisms, and suggestions

Publication classification

EN.1 Other conference paper

Copyright notice

NOT FOR CITATION WITHOUT PERMISSION

Publisher

McMaster University

Place of publication

Ontario, Canada

Series

Centre for Heath Economics and Policy Analysis (CHEPA) WP 2011

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