Journal Article Performance-Based Payment Incentives Increase Burden and Blame for Hospital Nurses
Kelly J. Devers, Additional Authors
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This Health Affairs article explores the effect of performance-based incentives through interviews of hospital leaders and unit nurses in 25 hospitals in 2008. Interviewees expressed favorable impressions of the impact that incentive policies have on quality and safety, but raised concerns about the policies' effects on the nurse workforce, given current hospital staffing levels, work environment, salaries, and turnover. We recommend that policy makers invest in implementation support, redesign hospital incentives to reward teamwork, and involve nursing leaders in the design of future incentive policies.
Research Areas Health and health care
Tags Health care delivery and payment Health equity Medicaid and the Children’s Health Insurance Program  Medicare
Policy Centers Health Policy Center