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News: Research finds pay for performance doesn't improve hypertension treatment

Case Management Weekly, February 9, 2011

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Pay for performance healthcare in the United Kingdom did not decrease the incidence of negative outcomes for hypertension patients, according to a study published in BMJ (British Medical Journal).

The study reviewed data for 470,725 patients diagnosed with hypertension between January 2000 and August 2007. This represents the four years preceding and the three years following implementation of pay for performance. The study found that “pay for performance had no effect on the cumulative incidence of stroke, myocardial infarction, renal failure, heart failure, or all cause mortality.”

Researchers concluded that quality of care for hypertension was stable or improving before implementation of pay for performance and that financial incentives may “not be sufficient to improve quality of care and outcomes for hypertension and other common chronic conditions.”

Source: BMJ



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