Effects of pay-for-performance system on tuberculosis default cases control and treatment in Taiwan.

The Journal of Infection
Wen-Chen TsaiYa-Hsin Li

Abstract

In order to make tuberculosis (TB) treatment more effective and to lower the default rate of the disease, the Bureau of National Health Insurance (BNHI) in Taiwan implemented the "pay-for-performance on Tuberculosis" program (P4P on TB) in 2004. The purpose of this study is to investigate the effectiveness of the P4P system in terms of default rate. This is a retrospective study. National Health Insurance Research Datasets in Taiwan from 2002 to 2005 has been used for the study. The study compared the differences of TB default rate before and after the implementation of P4P program, between participating and non-participating hospitals, and between P4P hospitals with and without case managers. Furthermore, logistic regression analysis was conducted to explore the related factors influencing TB patients default treatment after TB detected. The treatment default rate after "P4P on TB" was 11.37% compared with the 15.56% before "P4P on TB" implementation. The treatment default rate in P4P hospitals was 10.67% compared to 12.7% in non-P4P hospitals. In addition, the default rate was 10.4% in hospitals with case managers compared with 12.68% in hospitals without case managers. The results of the study showed that "P4P on TB" program...Continue Reading

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Citations

Mar 2, 2013·PloS One·Pei-Chun ChanUNKNOWN Taiwan Multidrug-Resistant Tuberculosis Consortium-TMTC
Jun 26, 2014·Computational and Mathematical Methods in Medicine·Luju Liu, Yan Wang
Sep 29, 2011·Revue des maladies respiratoires·K HoroE Aka-Danguy
Feb 9, 2012·Medical Care Research and Review : MCRR·Frank Eijkenaar
Nov 7, 2016·Medical Care Research and Review : MCRR·Anthony ScottJongsay Yong
Jan 13, 2012·BMC Public Health·Chung-Min LiaoMin-Pei Ling
Oct 6, 2021·International Journal of Antimicrobial Agents·Yuki YoshikawaMichele Cecchini

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