naa a22 4500 51078013X CHVBK 20180411083244.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11892-012-0353-9 doi (NATIONALLICENCE)springer-10.1007/s11892-012-0353-9 Provider and Patient Directed Financial Incentives to Improve Care and Outcomes for Patients with Diabetes [Elektronische Daten] [Ilona Lorincz, Brittany Lawson, Judith Long] Incentive programs directed at both providers and patients have become increasingly widespread. Pay-for-performance (P4P) where providers receive financial incentives to carry out specific care or improve clinical outcomes has been widely implemented. The existing literature indicates they probably spur initial gains which then level off or partially revert if incentives are withdrawn. The literature also indicates that process measures are easier to influence through P4P programs but that intermediate outcomes such as glucose, blood pressure, and cholesterol control are harder to influence, and the long-term impact of P4P programs on health is largely unknown. Programs directed at patients show greater promise as a means to influence patient behavior and intermediate outcomes such as weight loss; however, the evidence for long-term effects are lacking. In combination, both patient and provider incentives are potentially powerful tools but whether they are cost-effective has yet to be determined. Springer Science+Business Media New York (outside the USA), 2012 Diabetes mellitus nationallicence Reimbursement nationallicence Incentives nationallicence Pay for performance nationallicence Economics nationallicence Behavioral nationallicence Lorincz Ilona Department of Medicine, Endocrine Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA aut Lawson Brittany Department of Medicine, Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, 1021 Blockley Hall, 423 Guardian Drive, 19104-6021, Philadelphia, PA, USA aut Long Judith Department of Medicine, Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, 1021 Blockley Hall, 423 Guardian Drive, 19104-6021, Philadelphia, PA, USA aut Current Diabetes Reports Current Science Inc. 13/2(2013-04-01), 188-195 1534-4827 13:2<188 2013 13 11892 https://doi.org/10.1007/s11892-012-0353-9 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0353-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lorincz Ilona Department of Medicine, Endocrine Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Lawson Brittany Department of Medicine, Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, 1021 Blockley Hall, 423 Guardian Drive, 19104-6021, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Long Judith Department of Medicine, Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, 1021 Blockley Hall, 423 Guardian Drive, 19104-6021, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/2(2013-04-01), 188-195 1534-4827 13:2<188 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer