{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T01:20:22Z","timestamp":1792200022575,"version":"4.4.0"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,1,2]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">We aim to examine the association between primary care physicians' billing of Q050A, a pay\u2010for\u2010performance heart failure (HF) management incentive fee code, and the composite outcome of mortality, hospitalization, and emergency department visits.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">This population\u2010based cohort study linked administrative health databases in Ontario, Canada, for patients with HF aged &gt;66\u2009years between January 1, 2008, and March 31, 2020. Cases were patients with HF who had a Q050A fee code billed. Cases and controls were matched 1:1 on age, sex, patient status on being rostered to a primary care physician, cardiologist, or internist visit in the 6\u2009months before study enrollment, Johns Hopkins Adjusted Clinical Group resource use bands, days between HF diagnosis and study enrollment (\u00b12\u2009years), and the logit of the propensity score. A Cox proportional hazards model assessed the association of Q050A with the outcome. A total of 59\u2009664 cases had a Q050A billed, whereas 244\u2009883 patients did not. Before matching, patients who had a Q050A billed were more likely to be men (52% versus 49%), were rostered to a primary care physician (100% versus 96%), had a higher Charlson Comorbidity Index, and had higher health care costs. The mean follow\u2010up was 481\u2009days for cases and 530\u2009days for controls. The composite outcome (hazard ratio, 1.11 [95% CI, 1.09\u20131.12]) was significantly higher for cases than controls.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">The Q050A incentive improved financial compensation for primary care physicians managing patients with HF but was not associated with improvements in the outcome. Research on promoting evidence\u2010based HF management is warranted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.031498","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T10:04:51Z","timestamp":1703844291000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Association of a Heart Failure Management Incentive in Primary Care With Clinical Outcomes: A Retrospective Cohort Study"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8401-5493","authenticated-orcid":false,"given":"Harsukh","family":"Benipal","sequence":"first","affiliation":[{"name":"Temerty Faculty of Medicine University of Toronto Toronto, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5664-345X","authenticated-orcid":false,"given":"Catherine","family":"Demers","sequence":"additional","affiliation":[{"name":"Department of Medicine McMaster University Hamilton Ontario Canada"},{"name":"Department of Health Research Methods, Evidence and Impact McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7882-6457","authenticated-orcid":false,"given":"Joshua O.","family":"Cerasuolo","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact McMaster University Hamilton Ontario Canada"},{"name":"Institute of Clinical Evaluative Sciences Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Perez","sequence":"additional","affiliation":[{"name":"Institute of Clinical Evaluative Sciences Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"You","sequence":"additional","affiliation":[{"name":"Division of General Internal and Hospitalist Medicine Credit Valley Hospital, Trillium Health Partners Mississauga Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0365-1194","authenticated-orcid":false,"given":"Faizan","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Medicine McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Keshavjee","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management and Evaluation University of Toronto Toronto, Ontario Canada"},{"name":"InfoClin Inc Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-745X","authenticated-orcid":false,"given":"Douglas S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine University of Toronto Toronto, Ontario Canada"},{"name":"Institute of Clinical Evaluative Sciences Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto Toronto, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/HHF.0b013e318291329a"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001063"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb035374"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2020.08.020"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181577654"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.33.3.06"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2020.07.008"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00851-x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2011.01501.x"},{"key":"e_1_3_2_11_2","first-page":"963","article-title":"Management of heart failure in Canadian long\u2010term care facilities","volume":"20","author":"Heckman GA","year":"2004","unstructured":"Heckman GA, Misiaszek B, Merali F, Turpie ID, Patterson CJ, Flett N, McKelvie RS. 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