naa a22 4500 510780075 CHVBK 20180411083244.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11892-012-0351-y doi (NATIONALLICENCE)springer-10.1007/s11892-012-0351-y Pay-for-Performance: Impact on Diabetes [Elektronische Daten] [Tim Doran, Evangelos Kontopantelis] Pay-for-performance schemes explicitly link provider remuneration to the quality of care provided, with the aims of modifying provider behavior and improving patient outcomes. If successful, pay-for-performance schemes could drive improvements in quality and efficiency of care. However, financial incentives could also erode providers' intrinsic motivation, narrow their focus, promote unethical behavior, and ultimately increase health care inequalities. Evidence from schemes implemented to date suggests that carefully designed pay-for-performance schemes that align sufficient rewards with clinical priorities can produce modest but significant improvements in processes of diabetic care and intermediate outcomes. There is limited evidence, however, on whether improvements in processes of care result in improved outcomes, in terms of patient satisfaction, reduced complications, and greater longevity. The lack of adequate control groups has limited research findings to date, and more robust studies are needed to explore both the potential long-term benefits of pay-for-performance schemes and their unintended consequences. Springer Science+Business Media New York, 2012 Diabetes nationallicence Pay-for-performance nationallicence Financial incentives nationallicence Quality of care nationallicence Doran Tim Institute of Population Health, University of Manchester, Williamson Building Oxford Road, M13 9PL, Manchester, UK aut Kontopantelis Evangelos Institute of Population Health, University of Manchester, Williamson Building Oxford Road, M13 9PL, Manchester, UK aut Current Diabetes Reports Current Science Inc. 13/2(2013-04-01), 196-204 1534-4827 13:2<196 2013 13 11892 https://doi.org/10.1007/s11892-012-0351-y text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0351-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Doran Tim Institute of Population Health, University of Manchester, Williamson Building Oxford Road, M13 9PL, Manchester, UK aut NATIONALLICENCE 700 1- Kontopantelis Evangelos Institute of Population Health, University of Manchester, Williamson Building Oxford Road, M13 9PL, Manchester, UK aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/2(2013-04-01), 196-204 1534-4827 13:2<196 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer