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Updated: Jun 23, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Qualitative insights into how pediatric pay-for-performance programs are being designed.

Alyna T Chien¹, Matthew W Colman, Lainie Friedman Ross

¹Division of General Pediatrics, Children's Hospital of Boston, Harvard Medical School, Boston, MA, USA. alyna.chien@childrens.harvard.edu

Academic Pediatrics

|May 20, 2009

Summary

This summary is machine-generated.

Pediatric pay-for-performance (P4P) programs are expanding, but physician involvement in design and addressing chronic condition care needs remain challenges. These programs aim for effectiveness despite implementation hurdles.

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Last Updated: Jun 23, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Area of Science:

Health Services Research
Pediatric Healthcare Management
Quality Improvement Initiatives

Background:

Pediatric pay-for-performance (P4P) programs are increasingly implemented, yet their foundational aspects and operational details are not well understood.
Understanding the origins and design of these programs is crucial for their effective development and implementation.

Purpose of the Study:

To explore the genesis, design, and implementation of pediatric P4P programs from the perspective of program leaders.
To identify challenges and gather recommendations for improving pediatric P4P initiatives.

Main Methods:

Conducted cross-sectional semistructured interviews with directors and staff from 11 pediatric P4P programs.
Gathered insights on program initiation, design, challenges, impact, and considerations for children with chronic conditions.

Main Results:

Eleven programs have invested approximately $221 million, potentially impacting 4.3 million children.
Key challenges include pediatrician engagement, lack of vetted pediatric performance measures, and managing small sample sizes.
Programs generally perceive their efforts as effective despite these challenges.

Conclusions:

Pediatricians are often not involved in P4P program design, and program leaders face design uncertainties.
There is a need for greater physician input and validated pediatric measures.
Methodological challenges like small sample sizes and risk adjustment require further attention.