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Five of the eight included P4P schemes were part of a larger scheme of interventions i. A study published in The New England Journal of Medicine looked at how the Medicare policy to refuse to pay for certain hospital-acquired conditions affected the rates of such infections. Fostering implementation of health services research findings into practice: Anything you want us to know before the call? Framework Category Description Program design features Properties of the intervention itself such as the type of quality measure used or I need help with my d.a.r.e essay the size of the financial incentive Implementation factors Implementation processes Actions taken to implement the P4P program such as planning, stakeholder engagement, academic detailing, audit and feedback, and whether the incentive was targeted at the team or individual level Outer setting Refers to the broader health system context within which an intervention is implemented; the cultural and social norms at the state and federal level; and characteristics of the patient population Inner setting Refers to characteristics of the institution or organization itself Provider characteristics Refers to demographic characteristics e. Due to the large number of observational trials and heterogeneity among the studies, meta-analysis was not performed. National Center for Biotechnology Information , U. 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