Incentivizing appropriate prescribing in primary care
Development and first results of an electronic health record-based pay-for-performance scheme
Bibliographic Data
| ID | 21468121 |
|---|---|
| Authors | L Ramerman (0000-0001-8436-0924, Netherlands Institute for Health Services Research, corresponding author), Karin Hek (0000-0001-9551-1564, Netherlands Institute for Health Services Research), Christine Cramer-van der Welle (Netherlands Institute for Health Services Research), Ellis Simons-Winters (0000-0001-7062-487X, Netherlands Institute for Health Services Research), Anouk Middelweerd (0000-0002-1274-968X, Netherlands Institute for Health Services Research), Anke Lambooij (0000-0002-3384-9858, Instituut voor Verantwoord Medicijngebruik), Robert Verheij (0000-0003-2234-4819, Tilburg University) |
| Year | 2022 |
| Volume | 126 |
| Issue | 10 |
| Pages | 1010-1017 |
| Publication date | 2022-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy (JOURNAL) |
| Journal identifiers | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2022.07.004 |
| PMID | 35870964 |
| OpenAlex | W4285678650 |
| Language | EN |
| Citations received | 1 |
| References cited | 35 |
OBJECTIVE: Part of the funding of Dutch General Practitioners (GPs) care is based on pay-for-performance, including an incentive for appropriate prescribing according to guidelines in national formularies. Aim of this paper is to describe the development of an indicator and an infrastructure based on prescription data from GP Electronic Health Records (EHR), to assess the level of adherence to formularies and the effects of the pay-for-performance scheme, thereby assessing the usefulness of the infrastructure and the indicator. METHODS: Adherence to formularies was calculated as the percentage of first prescriptions by the GP for medications that were included in one of the national formularies used by the GP, based on prescription data from EHRs. Adherence scores were collected quarterly for 2018 and 2019 and subsequently sent to health insurance companies for the pay-for-performance scheme. Adherence scores were used to monitor the effect of the pay-for-performance scheme. RESULTS: 75% (2018) and 83% (2019) of all GP practicesparticipated. Adherence to formularies was around 85% or 95%, depending on the formulary used. Adherence improved significantly, especially for practices that scored lowest in 2018. DISCUSSION: We found high levels of adherence to national formularies, with small improvements after one year. The infrastructure will be used to further stimulate formulary-based prescribing by implementing more actionable and relevant indicators on adherence scores for GPs
Actuarial science · Business · Family medicine · Formulary · Health care · Incentive · Incentive program · Medical prescription · Chronic Disease Management Strategies · Medication Adherence and Compliance · Medicine · Nursing · Primary Care and Health Outcomes · Pharmacy
| Citations per year | 0.5 |
|---|---|
| Citation span | 2024 - 2024 (1) |
| Highly cited | No |