激励计划对糖尿病管理护理质量的影响

The effects of an incentive program on quality of care in diabetes management

Health Economics · 2009
被引 74
人大 A-

中文导读

研究澳大利亚1999年实施的慢性病管理激励计划对糖尿病护理质量的影响,发现该计划使HbA1c检测概率提高20个百分点,且地区全科医生分部的支持促进了参与。

Abstract

An incentive program for general practitioners to encourage systematic and igh-quality care in chronic disease management was introduced in Australia in 1999. There is little empirical evidence and ambiguous theoretical guidance on which effects to expect. This paper evaluates the impact of the incentive program on quality of care in diabetes, as measured by the probability of ordering an HbA1c test. The empirical analysis is conducted with a unique data set and a bivariate probit model to control for the self-selection process of practices into the program. The study finds that the incentive program increased the probability of an HbA1c test being ordered by 20 percentage points and that participation in the program is facilitated by the support of Divisions of General Practice.

激励计划糖尿病管理HbA1c检测医疗质量