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Effectiveness of pay-for-performance for chronic kidney disease patients on hemodialysis: a systematic review

Jo Ann A Otts1, Patricia F Pearce, Cynthia A Langford

  • 11School of Nursing, Loyola University New Orleans, New Orleans, USA 2Texas Christian University Center for Translational Research: a Joanna Briggs Institute Center of Excellence, Fort Worth, USA.

JBI Database of Systematic Reviews and Implementation Reports
|July 15, 2017
PubMed

Insights

This review examines pay-for-performance programs for hemodialysis patients with chronic kidney disease (CKD). It assesses if these programs improve clinical outcomes compared to pre-implementation periods.

Area of Science:

  • Nephrology
  • Health Services Research
  • Health Economics

Background:

  • Chronic kidney disease (CKD) affects a significant adult population requiring hemodialysis.
  • Pay-for-performance (P4P) programs are increasingly implemented in healthcare to incentivize quality improvement.
  • The impact of P4P on clinical outcomes in hemodialysis patients remains an area for comprehensive review.

Purpose of the Study:

  • To systematically review the evidence on the effectiveness of P4P program implementation.
  • To evaluate the impact of P4P on clinical outcomes for adult CKD patients undergoing hemodialysis.
  • To compare outcomes before and after P4P implementation.

Main Methods:

  • A systematic review of studies evaluating P4P programs in adult hemodialysis patients.
  • Analysis of clinical outcomes data pre- and post-P4P implementation.
  • Assessment of study designs and evidence quality.

Main Results:

  • Evidence synthesis on the effectiveness of P4P in improving specific clinical markers in hemodialysis.
  • Identification of key clinical outcomes influenced by P4P initiatives.
  • Summary of the comparative effectiveness of P4P versus standard care.

Conclusions:

  • P4P programs show potential for influencing clinical outcomes in hemodialysis.
  • Further research is needed to optimize P4P design for CKD patients.
  • Evidence-based strategies can guide P4P implementation in nephrology care.
Abstract

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