Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care

Objective: High-quality primary care is envisaged as the centerpiece of the emerging health care delivery system under the Affordable Care Act. Reengineering the US health care system into a primary care–driven model will require widespread, rapid changes in the management and organization of primar...

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Main Authors:	Jong-Deuk Baek, Sudha Xirasagar, Carleen H. Stoskopf, Robert L. Seidman
Format:	Article
Language:	English
Published:	SAGE Publishing 2013-07-01
Series:	Journal of Primary Care & Community Health
Online Access:	https://doi.org/10.1177/2150131912462036

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spelling	doaj-80d842d953e448b1a640d31b7cd03fdc2020-11-25T03:24:48ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272013-07-01410.1177/2150131912462036Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary CareJong-Deuk Baek0Sudha Xirasagar1Carleen H. Stoskopf2Robert L. Seidman3San Diego State University, San Diego, CA, USAUniversity of South Carolina, Columbia, SC, USASan Diego State University, San Diego, CA, USASan Diego State University, San Diego, CA, USAObjective: High-quality primary care is envisaged as the centerpiece of the emerging health care delivery system under the Affordable Care Act. Reengineering the US health care system into a primary care–driven model will require widespread, rapid changes in the management and organization of primary care physicians (PCPs). Financial incentives to influence physician behavior have been attempted with various approaches, without empirical evidence of their effectiveness in improving care quality. This study examines the above research question adjusting for the patient-centeredness of the practice climate, a major contextual factor affecting PCPs’ ability to provide high-quality care. Methods: Secondary data on a sample of salaried PCPs (n = 1733) from the nation-wide Community Tracking Study Physician Survey 2004-2005 were subject to generalized multinomial logit modeling to examine associations between financial incentives and PCPs’ self-reported ability to provide quality care. Results: After adjusting for patient-centered medical home (PCMH)–consistent practice environment, financial incentive aligned with care quality/care content is positively associated with PCPs’ ability to provide high-quality care. An encouraging finding was that financial incentives aligned with clinic productivity/profitability do not to impede high-quality care in a PCMH practice environment. Conclusion: Financial incentives targeted to care quality or content indicators may facilitate rapid transformation of the health system to a primary care–driven system. The study provides empirical evidence of the utility of practically deployable financial incentives to facilitate high-quality primary care.https://doi.org/10.1177/2150131912462036
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Jong-Deuk Baek Sudha Xirasagar Carleen H. Stoskopf Robert L. Seidman
spellingShingle	Jong-Deuk Baek Sudha Xirasagar Carleen H. Stoskopf Robert L. Seidman Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care Journal of Primary Care & Community Health
author_facet	Jong-Deuk Baek Sudha Xirasagar Carleen H. Stoskopf Robert L. Seidman
author_sort	Jong-Deuk Baek
title	Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care
title_short	Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care
title_full	Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care
title_fullStr	Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care
title_full_unstemmed	Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care
title_sort	physician-targeted financial incentives and primary care physicians’ self-reported ability to provide high-quality primary care
publisher	SAGE Publishing
series	Journal of Primary Care & Community Health
issn	2150-1319 2150-1327
publishDate	2013-07-01
description	Objective: High-quality primary care is envisaged as the centerpiece of the emerging health care delivery system under the Affordable Care Act. Reengineering the US health care system into a primary care–driven model will require widespread, rapid changes in the management and organization of primary care physicians (PCPs). Financial incentives to influence physician behavior have been attempted with various approaches, without empirical evidence of their effectiveness in improving care quality. This study examines the above research question adjusting for the patient-centeredness of the practice climate, a major contextual factor affecting PCPs’ ability to provide high-quality care. Methods: Secondary data on a sample of salaried PCPs (n = 1733) from the nation-wide Community Tracking Study Physician Survey 2004-2005 were subject to generalized multinomial logit modeling to examine associations between financial incentives and PCPs’ self-reported ability to provide quality care. Results: After adjusting for patient-centered medical home (PCMH)–consistent practice environment, financial incentive aligned with care quality/care content is positively associated with PCPs’ ability to provide high-quality care. An encouraging finding was that financial incentives aligned with clinic productivity/profitability do not to impede high-quality care in a PCMH practice environment. Conclusion: Financial incentives targeted to care quality or content indicators may facilitate rapid transformation of the health system to a primary care–driven system. The study provides empirical evidence of the utility of practically deployable financial incentives to facilitate high-quality primary care.
url	https://doi.org/10.1177/2150131912462036
work_keys_str_mv	AT jongdeukbaek physiciantargetedfinancialincentivesandprimarycarephysiciansselfreportedabilitytoprovidehighqualityprimarycare AT sudhaxirasagar physiciantargetedfinancialincentivesandprimarycarephysiciansselfreportedabilitytoprovidehighqualityprimarycare AT carleenhstoskopf physiciantargetedfinancialincentivesandprimarycarephysiciansselfreportedabilitytoprovidehighqualityprimarycare AT robertlseidman physiciantargetedfinancialincentivesandprimarycarephysiciansselfreportedabilitytoprovidehighqualityprimarycare
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Physician-Targeted Financial Incentives and Primary Care Physicians’ Self-Reported Ability to Provide High-Quality Primary Care

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