The impact of financial incentives on physician productivity in medical groups. Export

@article{citeulike:1702674, abstract = {OBJECTIVE: To estimate the effect of financial incentives in medical groups--both at the level of individual physician and collectively--on individual physician productivity. DATA SOURCES/STUDY SETTING: Secondary data from 1997 on individual physician and group characteristics from two surveys: Medical Group Management Association (MGMA) Physician Compensation and Production Survey and the Cost Survey Area Resource File data on market characteristics, and various sources of state regulatory data. STUDY DESIGN: Cross-sectional estimation of individual physician production function models, using ordinary least squares and two-stage least squares regression. DATA COLLECTION: Data from respondents completing all items required for the two stages of production function estimation on both MGMA surveys (with RBRVS units as production measure: 102 groups, 2,237 physicians; and with charges as the production measure: 383 groups, 6,129 physicians). The 102 groups with complete data represent 1.8 percent of the 5,725 MGMA member groups. PRINCIPAL FINDINGS: Individual production-based physician compensation leads to increased productivity, as expected (elasticity = .07, p < .05). The productivity effects of compensation methods based on equal shares of group net income and incentive bonuses are significantly positive (p < .05) and smaller in magnitude. The group-level financial incentive does not appear to be significantly related to physician productivity. CONCLUSIONS: Individual physician incentives based on own production do increase physician productivity.}, address = {University of Washington, Department of Health Services, Seattle 98195-7660, USA.}, author = {Conrad, D. A. and Sales, A. and Liang, S. Y. and Chaudhuri, A. and Maynard, C. and Pieper, L. and Weinstein, L. and Gans, D. and Piland, N.}, citeulike-article-id = {1702674}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/12236389}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=12236389}, issn = {0017-9124}, journal = {Health Serv Res}, keywords = {incentives, pgp, productivity}, month = {August}, number = {4}, pages = {885--906}, posted-at = {2007-09-27 20:35:00}, priority = {5}, title = {The impact of financial incentives on physician productivity in medical groups.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/12236389}, volume = {37}, year = {2002} }

TY - JOUR ID - citeulike:1702674 L3 - citeulike-article-id:1702674 N2 - OBJECTIVE: To estimate the effect of financial incentives in medical groups--both at the level of individual physician and collectively--on individual physician productivity. DATA SOURCES/STUDY SETTING: Secondary data from 1997 on individual physician and group characteristics from two surveys: Medical Group Management Association (MGMA) Physician Compensation and Production Survey and the Cost Survey Area Resource File data on market characteristics, and various sources of state regulatory data. STUDY DESIGN: Cross-sectional estimation of individual physician production function models, using ordinary least squares and two-stage least squares regression. DATA COLLECTION: Data from respondents completing all items required for the two stages of production function estimation on both MGMA surveys (with RBRVS units as production measure: 102 groups, 2,237 physicians; and with charges as the production measure: 383 groups, 6,129 physicians). The 102 groups with complete data represent 1.8 percent of the 5,725 MGMA member groups. PRINCIPAL FINDINGS: Individual production-based physician compensation leads to increased productivity, as expected (elasticity = .07, p < .05). The productivity effects of compensation methods based on equal shares of group net income and incentive bonuses are significantly positive (p < .05) and smaller in magnitude. The group-level financial incentive does not appear to be significantly related to physician productivity. CONCLUSIONS: Individual physician incentives based on own production do increase physician productivity. IS - 4 JF - Health Serv Res SN - 0017-9124 AD - University of Washington, Department of Health Services, Seattle 98195-7660, USA. EP - 906 TI - The impact of financial incentives on physician productivity in medical groups. VL - 37 SP - 885 KW - incentives KW - pgp KW - productivity AU - Conrad, DA AU - Sales, A AU - Liang, SY AU - Chaudhuri, A AU - Maynard, C AU - Pieper, L AU - Weinstein, L AU - Gans, D AU - Piland, N PY - 2002/08// UR - http://view.ncbi.nlm.nih.gov/pubmed/12236389 ER -