Health Affairs · 2006 · 337 citations · 12 references
NursingHealth PolicyHealth SystemsComparative Health SystemsHealthcare Quality ImprovementPrimary CareHealth Care Delivery SystemsPractice OrganizationPrimary Care Delivery ModelsPrimary Care Quality ImprovementPrimary Health CareQuality Of CarePhysician Payment IncentivesPhysician Payment SystemsPhysician Performance MeasurementPhysician Practice EfficiencyPhysician Practice PatternsPhysician Quality Of CarePractice Management SystemsQuality-based Payment Incentives
The survey compared primary‑care practice systems across seven countries, highlighting substantial differences in elements that support quality and efficiency. It revealed wide disparities in clinical information systems, payment incentives, and disease‑management capacity, with U.S.
This 2006 survey of primary care physicians in Australia, Canada, Germany, New Zealand, the Netherlands, the United Kingdom, and the United States reveals striking differences in elements of practice systems that underpin quality and efficiency. Wide gaps exist between leading and lagging countries in clinical information systems and payment incentives. U.S. physicians are among the least likely to have extensive clinical information systems or incentives targeted on quality and the most likely to report that their patients have difficulty paying for care. Disease management capacity varies widely. Overall, findings highlight the importance of nationwide policies: Policy changes in the United States could lead to improved performance.
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Unintended Consequences of Caps on Medicare Drug Benefits
John Hsu, Mary Price, Jie Huang et al. · New England Journal of Medicine · 2006 · 375 citations