Table 1.
Definition of inclusion and exclusion criteria
Inclusion criteria | Exclusion criteria |
---|---|
Participants/Population | |
Healthcare providers in primary and/or acute hospital care; being a provider organization (hospital, practice, medical group, etc.); team of providers or an individual physician | Patients as target group for financial incentives; providers in mental or behavioral health settings, or in nursing homes |
Intervention | |
The use of an explicit financial positive or negative incentive directly related to providers' performance with regard to specifically measured quality-of-care targets and directed at a person's income or at further investment in quality improvement; performance measured as achievement and/or improvement | The use of implicit financial incentives, which might affect quality of care but are not specifically intended to explicitly promote quality (e.g., fee-for-service, capitation, salary); the use of indirect financial incentives that affect payment only through patient attraction (e.g., public reporting) |
Comparison | |
No inclusion criteria specified for relevance screening | No exclusion criteria specified for relevance screening |
Outcome | |
At least one structural, process, or (intermediate) outcome measure on clinical effectiveness of care, access and/or equity of care, coordination and/or continuity of care, patient-centeredness, and/or cost-effectiveness of care | Subjective structural, process, or (intermediate) outcome perceptions or statements that are not measured quantitatively using a standardized validated instrument; a single focus on cost containment or productivity as targets |
Design | |
Primary evaluation studies published in a peer-reviewed journal or published by the Agency for Healthcare Research and Quality (AHRQ), the Institute of Medicine (IOM), the National Health Service Department of Health or a non-profit independent academic institution | Editorials, perspectives, comments, letters; papers on P4P theory, development and/or implementation without evaluation |