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 t...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 CCMrelated 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.展开更多
Using a sample of state-owned enterprises(SOEs) listed on the Shanghai and Shenzhen Stock Exchanges during the 1999-2009 period,we investigate the effects of overemployment on executives' pay-for-performance sensi...Using a sample of state-owned enterprises(SOEs) listed on the Shanghai and Shenzhen Stock Exchanges during the 1999-2009 period,we investigate the effects of overemployment on executives' pay-for-performance sensitivity(PPS) and analyze how the behavior of firms with high/low PPS affects the number of surplus employees.We find the existence of a redundant workforce significantly weakens PPS and the role of accounting measures in performance assessment.In contrast to prior literature,we find that higher PPS is associated with a stronger incentive to lay off redundant employees and to limit future employee numbers.We also find that weaker government intervention strengthens managerial control over the future size of the workforce.Finally,our findings suggest that a heavier government policy burden on SOEs leads to lower tax rates and more government gains.展开更多
基金Ministry of Science and Technology in Taipei,No.106-2918-I-030-002.
文摘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 CCMrelated 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.
基金supported by the National Social Science Foundation(Grant No.08CJY009)the Philosophical and Social Science Foundation of Education Department of Jiangsu Province(Grant No.07SJD630016)support from the IAPHD Project of Nanjing University
文摘Using a sample of state-owned enterprises(SOEs) listed on the Shanghai and Shenzhen Stock Exchanges during the 1999-2009 period,we investigate the effects of overemployment on executives' pay-for-performance sensitivity(PPS) and analyze how the behavior of firms with high/low PPS affects the number of surplus employees.We find the existence of a redundant workforce significantly weakens PPS and the role of accounting measures in performance assessment.In contrast to prior literature,we find that higher PPS is associated with a stronger incentive to lay off redundant employees and to limit future employee numbers.We also find that weaker government intervention strengthens managerial control over the future size of the workforce.Finally,our findings suggest that a heavier government policy burden on SOEs leads to lower tax rates and more government gains.
