{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:33:26Z","timestamp":1791203606883,"version":"4.2.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,27]],"date-time":"2013-01-27T00:00:00Z","timestamp":1359244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study examines the impact of <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia's pay\u2010for\u2010performance (P4P) program for general practitioners (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s). The voluntary program pays <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s A$40 and A$100 in addition to fee\u2010for\u2010service payment for providing patients recommended diabetes and asthma treatment over a year, and A$35 for screening women for cervical cancer who have not been screened in 4\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Three approaches were used to triangulate the program's impact: (1) analysis of trends in national claims for incentivized services pre\u2010 and postprogram implementation; (2) fixed effects panel regression models examining the impact of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s' P4P program participation on provision of incentivized services; and (3) in\u2010depth interviews to explore <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s' perceptions of their own response to the program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a short\u2010term increase in diabetes testing and cervical cancer screens after program implementation. The increase, however, was for all <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s. Neither signing onto the program nor claiming incentive payments was associated with increased diabetes testing or cervical cancer screening. <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s reported that the incentive did not influence their behavior, largely due to the modest payment and the complexity of tracking patients and claiming payment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications<\/jats:title><jats:p>Monitoring and evaluating P4P programs is essential, as programs may not spark the envisioned impact on quality improvement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.12033","type":"journal-article","created":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T05:22:35Z","timestamp":1359350555000},"page":"1415-1432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["An Examination of Pay\u2010for\u2010Performance in General Practice in Australia"],"prefix":"10.1111","volume":"48","author":[{"given":"Jessica","family":"Greene","sequence":"first","affiliation":[{"name":"Department of Planning Public Policy &amp; Management University of Oregon Eugene OR"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,27]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Department of Health and Ageing.2009. \u201cPrimary Health Care Reform in Australia. 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