La Trobe
1174765_Chen,T_2021.pdf (556.73 kB)

Chronic care model in the diabetes pay-for-performance program in Taiwan: Benefits, challenges and future directions

Download (556.73 kB)
journal contribution
posted on 09.08.2021, 04:31 by Tsung-Tai Chen, Brian OldenburgBrian Oldenburg, Ya-Seng Hsueh
In this review, we discuss the chronic care model (CCM) in relation to the diabetes pay-for-performance (P4P) program in Taiwan. We first introduce the 6 components of the CCM and provide a detailed description of each of the activities in the P4P program implemented in Taiwan, mapping them onto the 6 components of the CCM. For each CCM component, the following three topics are described: the definition of the CCM component, the general activities implemented related to this component, and practical and empirical practices based on hospital or local government cases. We then conclude by describing the possible successful features of this P4P program and its challenges and future directions. We conclude that the successful characteristics of this P4P program in Taiwan include its focus on extrinsic and intrinsic incentives (i.e., shared care network), physician-led P4P and the implementation of activities based on the CCM components. However, due to the low rate of P4P program coverage, approximately 50% of patients with diabetes cannot enjoy the benefits of CCM-related activities or receive necessary examinations. In addition, most of these CCM-related activities are not allotted an adequate amount of incentives, and these activities are mainly implemented in hospitals, which compared with primary care providers, are unable to execute these activities flexibly. All of these issues, as well as insufficient implementation of the e-CCM model, could hinder the advanced improvement of diabetes care in Taiwan.

Funding

Supported by Ministry of Science and Technology in Taipei, No. 1062918-I-030-002.

History

Publication Date

15/05/2021

Journal

WORLD JOURNAL OF DIABETES

Volume

12

Issue

5

Pagination

12p. (p. 578-589)

Publisher

BAISHIDENG PUBLISHING GROUP INC

ISSN

1948-9358

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.