Penetrating the “Black Box”: Financial Incentives for Enhancing the Quality of Physician Services

2004 ◽  
Vol 61 (3_suppl) ◽  
pp. 37S-68S ◽  
Author(s):  
Douglas A. Conrad ◽  
Jon B. Christianson
2021 ◽  
Vol 54 (7) ◽  
pp. 1-37
Author(s):  
Jihyeok Park ◽  
Hongki Lee ◽  
Sukyoung Ryu

Understanding program behaviors is important to verify program properties or to optimize programs. Static analysis is a widely used technique to approximate program behaviors via abstract interpretation. To evaluate the quality of static analysis, researchers have used three metrics: performance, precision, and soundness. The static analysis quality depends on the analysis techniques used, but the best combination of such techniques may be different for different programs. To find the best combination of analysis techniques for specific programs, recent work has proposed parametric static analysis . It considers static analysis as black-box parameterized by analysis parameters , which are techniques that may be configured without analysis details. We formally define the parametric static analysis, and we survey analysis parameters and their parameter selection in the literature. We also discuss open challenges and future directions of the parametric static analysis.


Energies ◽  
2021 ◽  
Vol 14 (15) ◽  
pp. 4625
Author(s):  
Alisa Freyre ◽  
Stefano Cozza ◽  
Matthias Rüetschi ◽  
Meinrad Bürer ◽  
Marlyne Sahakian ◽  
...  

In this paper, we perform a literature review on the current state of knowledge about homeowners in the context of the adoption of renewable heating systems. Despite a considerable number of studies about homeowners, homeowner–installer interactions, and ways to improve the effectiveness of renewable heating programs, based on homeowner knowledge, have not yet been studied in much detail. To address these knowledge gaps, we conduct a qualitative study on single-family house owners who installed heat pumps and took part in a renewable heating program in Geneva, Switzerland. We cover homeowner practices in choosing installers and heating system types, homeowners’ feedback about heat pump installation and use, as well as their experience in participation in the renewable heating program. Based on the literature review and the findings from the interviews, we provide the following recommendations on how to increase the effectiveness of renewable heating programs: (a) support for homeowners should not be limited to financial incentives; (b) partnership programs with installers could help to increase the quality of installation services and enable homeowners to choose qualified installers; and (c) assisting homeowners in pre-qualification and ex-post analysis, in learning how to operate their renewable heating systems and in solving problems during the post-installation period, can contribute to improved technology reputation, which can, in turn, increase technology uptake by other homeowners.


2019 ◽  
Vol 4 (4) ◽  
pp. 125
Author(s):  
Fadhila Cahya Ningrum ◽  
Dandi Suherman ◽  
Sita Aryanti ◽  
Handika Angga Prasetya ◽  
Aries Saifudin

Testing on an application aims to check whether a program is running properly so that the program created will be a program that has good quality. The testing technique consists of Whitebox Testing and Blackbox Testing which are widely used by examiners is appropriate. Study the software that will be examined using Blackbox Testing is a best sales selection system consisting of 1 form that will be filled with sales data, as well as sales performance while in the company. The Best Sales Selection Application will be tested using Blackbox Testing where this test only aims to look the program is the same with the function desired by program without knowing the program code used. Types of testing of the various Blackbox methods one of which is the Equivalence Partitions used by the authors in this study. Equivalence Partitions technique is a test based on entering data on each form in the best sales selection system, each menu input will be tested and grouped according to function whether it is valid or invalid. So it is expected that with this test is the quality of the software produced in accordance with the expected function, and can provide benefits for the company.


2012 ◽  
pp. 1148-1163
Author(s):  
Posy Bidwell ◽  
Stephen Thomas ◽  
Silvia Stringhini

A critical factor in addressing the human resources crisis in low and middle income countries (LMIC) is the ability to recruit, motivate, and retain health workers. Failure in this area is one of the main causes of decline in availability of services and quality of care. Various financial and non-financial incentives have been implemented and this chapter will explore available evidence to see whether they have influenced motivation. Additionally, Maslow’s hierarchy of needs is used to determine if there is a hierarchy of how incentives are valued. While Maslow’s model is a useful tool to classify themes of health worker needs, it would appear that workers are motivated without each level having to be fulfilled in turn. While financial incentives may help with retention, they can cause erosion of professional ethos, do not increase job satisfaction, or act as motivators to perform well. More research needs to be done in order to design more effective human resources strategies.


2014 ◽  
Vol 2 (2) ◽  
pp. 192-208
Author(s):  
André de Waal ◽  
Maarten Roobol

Purpose – In the home furnishing industry outside contract installers produce higher quality work than in-house installers which is reflected in less revisits to customers to repair mistakes. Many home furnishing retailers are therefore contemplating introducing so that the quality of the work of in-house installers will be linked to financial incentives, thus resembling the situation of contract installers. However, a necessary condition for a successful introduction of bonuses is that in-house installers are motivated by it to deliver better quality work, i.e. cause less revisits. The purpose of this paper is to look into the question whether the introduction of bonuses could be used to increase the quality of work of in-house. Design/methodology/approach – For the research the four steps of the evidence-based HRM framework, as developed by Rousseau and Barends (2011), were used. In steps 1, literature review, the research question was formulated based on work motivation theories (in particular on intrinsic and extrinsic motivation, bonuses, and the differences between contract workers and organizational employees). In step 2, systematic gathering of facts, two existing questionnaires were combined to measure the motivation of the two types of installers. Findings – In step 3, evaluation, the differences between the motivational factors and attitude towards bonuses was analysed for both groups of installers. The research results show that although in-house installers are potentially motivated by bonuses, they differ so much from contract installers in their general work motivation that introducing bonuses by no means will be a success. In step 4, ethical considerations, the consequences of the research findings were discussed. Research limitations/implications – The main limitations are the use of a self-constructed questionnaire and the fact that the research was conducted at only one case company, thus rendering the generalization of findings problematic. Practical implications – The practical implication of the study is that management of the case company can now better prepare itself for the issues to be expected when introducing bonuses for the in-house installers. Originality/value – This research adds to the literature on the effects of bonuses on motivation. It also addresses a gap in the literature as there is currently hardly any academic literature on the conditions necessary to introduce bonuses for craftsmen successfully, and on whether this introduction is advantageous for organizations in the first place. In addition, the case company offered the opportunity to research the issue in a comparative way, by looking at the motivational factors influencing in-house installers and contract installers who work in the same conditions, something which to the knowledge of the authors has not been done before. Finally, the sue of an evidence-based HRM framework is quite unique for the human resource management field.


2017 ◽  
Author(s):  
Sonali P. Desai ◽  
Allen Kachalia

Attention to the quality of care within the United States health care system has grown tremendously over the past decade. We have witnessed a significant change in how quality improvement and clinical performance measurement are approached. The current focus on quality and safety stems in part from the increasingly clear realization that more services and technological advancement are not automatically equivalent to high-quality care. Much of the discussion about cost and quality in health care is shifting towards the concept of value. Value is defined as health outcomes achieved per dollar spent (in other words, an assessment of the quality of care per cost). This chapter reviews the current state of quality improvement in health care and, because improvement cannot be determined without measurement, reviews several aspects of effective clinical performance measurement. Since many measures are already in place, the chapter describes some of the organizations involved in quality measurement and improvement, as well the approaches they utilize. It looks at the multiple strategies in place to improve quality, from process management to collaboration, from financial incentives to transparency, and reviews newer models of care delivery that may materialize in the near future. Tables list types of quality measures, characteristics to consider when developing a quality measure, and organizations involved in quality improvement and performance measurement. A figure shows strategies used by the federal government to spur performance measurement and quality improvement. This chapter contains 56 references.


2021 ◽  
Author(s):  
Julia Barnett ◽  
Margrét Vilborg Bjarnadóttir ◽  
David Anderson ◽  
Chong Chen

BACKGROUND Prior research has highlighted gender differences in online physician reviews, however, to date no research has linked online ratings with quality of care. OBJECTIVE To compare a consumer-generated measure of physician quality (online ratings) with a clinical quality outcome (sanctions for malpractice or improper behavior), to understand how patients’ perception and evaluation of doctors differ based on the physician’s gender and quality. METHODS We use data from a large online doctor reviews website and the Federation of State Medical Boards. We implement paragraph vector methods to identify words that are specific to and indicative of the separate groups of physicians. We then enrich these findings by utilizing the NRC word-emotion association lexicon to assign emotional scores to the various segments: gender, gender and sanction, and gender and rating. RESULTS We find significant differences in the sentiment and emotion of reviews for male and female physicians. We find that numerical ratings are lower and the sentiment in text reviews is more negative for women who will be sanctioned than for men who will be sanctioned; sanctioned male doctors are still associated with positive reviews. CONCLUSIONS Conclusions: Given the growing impact of online reviews on demand for physician services, understanding the different reviews faced by male and female physicians is important for consumers and for platform architects in order to revisit their platform design.


2015 ◽  
Author(s):  
Sonali P. Desai ◽  
Allen Kachalia

Attention to the quality of care within the United States health care system has grown tremendously over the past decade. We have witnessed a significant change in how quality improvement and clinical performance measurement are approached. The current focus on quality and safety stems in part from the increasingly clear realization that more services and technological advancement are not automatically equivalent to high-quality care. Much of the discussion about cost and quality in health care is shifting towards the concept of value. Value is defined as health outcomes achieved per dollar spent (in other words, an assessment of the quality of care per cost). This chapter reviews the current state of quality improvement in health care and, because improvement cannot be determined without measurement, reviews several aspects of effective clinical performance measurement. Since many measures are already in place, the chapter describes some of the organizations involved in quality measurement and improvement, as well the approaches they utilize. It looks at the multiple strategies in place to improve quality, from process management to collaboration, from financial incentives to transparency, and reviews newer models of care delivery that may materialize in the near future. Tables list types of quality measures, characteristics to consider when developing a quality measure, and organizations involved in quality improvement and performance measurement. A figure shows strategies used by the federal government to spur performance measurement and quality improvement. This chapter contains 56 references.


Author(s):  
Cledir Santos ◽  
Paula Galeano ◽  
Reginaldo Lima Neto ◽  
Manoel Marques Evangelista Oliveira ◽  
Nelson Lima

Abstract Matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS) is now used as a routine technique for the fast and reliable identification of fungi at the species level and, currently, it represents an important phenotypic methodology based on proteomic profiles. The main limitations to MALDI-TOF MS for fungal identification are related to sample quality (e.g. quality of biological material such as rigidity or pigmentation of cell walls), sample preparation (e.g. the myriad of sample preparation methodologies that deliver different data sets to different MALDI-TOF MS databases) and the databases themselves (e.g. the 'black-box' commercial databases). This chapter presents an overview and discussion of the use of MALDI-TOF MS for fungal identification. The major known limitations of the technique for fungal taxonomy, and how to overcome these, are also discussed.


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