Effects of pay-for-performance for primary care physicians on type 2 diabetes outcomes: Evidence from rural China
Authors' conclusion
The P4P incentive effectively improved glycemic control and diabetes management in rural China.
Study context
- Population
- Patients with T2D in primary care, 19 rural villages in China
- Participants
- 1,085 patients19 rural villages
- Comparison
- Pay-for-performance (P4P) incentives for family physicians vs control
- Outcome
- Clinical health outcomes: fasting blood glucose, blood pressure and lipid levels
- Follow-up
- After one year
Methodological detailsdifference-in-differences analysis, Conducted February to March 2019
- Difference-in-differences analysis
- Conducted February to March 2019
Main finding
As reported in the abstract
Clinical health outcomes
Intervention vs ControlEstimate (95 % CI)
Clinical health outcomes
OR, fasting glucose control rate 2.34(1.57–3.48)
Clinical health outcomes
OR, blood pressure control rate 7.57(4.98–11.50)
Clinical health outcomes
OR, total cholesterol control rate 2.47(1.61–3.79)
- Lower with intervention
- reduction in fasting plasma glucose 0.88 mmol/L
- Lower with intervention
- reduction in systolic blood pressure 11.10 mmHg
- Lower with intervention
- reduction in total cholesterol 0.50 mmol/L
Further findings
| Outcome | Estimate | |
|---|---|---|
| Health behaviorsInterventionvs ControlMultiple regression analysis | OR, self-management behaviors 0.21 (95 % CI 0.08–0.34) | |
| Health behaviorsInterventionvs ControlMultiple regression analysis | OR, doctor-patient trust 0.75 (95 % CI 0.39–1.11) | |
| 0.050.21520Ratio (log scale) |
Original publication
Effects of pay-for-performance for primary care physicians on type 2 diabetes outcomes: Evidence from rural China. Diabetes Res Clin Pract. Published 16 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →