Qual Manag Health Care. 2008 Jan-Mar;17(1):9-18.

Pay for performance and medical professionalism.

Source

Division of Pediatric Emergency Medicine, Department of Pediatrics, Rainbow Babies and Children's Hospital, Cleveland, Ohio 44118, USA. marissa.hendrickson@uhhospitals.org

Abstract

Health care delivery systems are widely studying and implementing physician pay for performance (P4P) initiatives to improve quality and control costs. However, the increasing focus on quality-driven financial incentives has some troubling implications for medical professionalism. This article examines the P4P concept in light of a notion of medical fiduciary professionalism that dates back to the 18th-century Scottish physician John Gregory. Gregory's principles serve as a framework to assess the appropriateness of P4P initiatives in disseminating the principles of high-quality care without damage to professionalism, the patient-physician relationship, and access to care for all patients.

PMID:: 18204373; [PubMed - indexed for MEDLINE]

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Labome Researcher Resource - ExactAntigen/Labome

Supplemental Content

Related citations

Pay for performance through the lens of medical professionalism. [Ann Intern Med. 2010]
Pay for performance through the lens of medical professionalism.
Qaseem A, Snow V, Gosfield A, Gregg D, Michl K, Wennberg D, Weiss KB, Schneider EC. Ann Intern Med. 2010 Mar 16; 152(6):366-9.
Performance-based measures: the early results are in. [J Manag Care Pharm. 2007]
Performance-based measures: the early results are in.
O'Kane ME. J Manag Care Pharm. 2007 Mar; 13(2 Suppl B):S3-6.
Pay for performance: quality- and value-based reimbursement. [Pediatr Clin North Am. 2009]
Pay for performance: quality- and value-based reimbursement.
Harbaugh NC Jr. Pediatr Clin North Am. 2009 Aug; 56(4):997-1007.
Review Pay for performance: is it the best way to improve control of hypertension? [Curr Hypertens Rep. 2007]
Review Pay for performance: is it the best way to improve control of hypertension?
Doran T, Fullwood C. Curr Hypertens Rep. 2007 Nov; 9(5):360-7.
Review Innovative health reform models: pay-for-performance initiatives. [Am J Manag Care. 2009]
Review Innovative health reform models: pay-for-performance initiatives.
Glickman SW, Peterson ED. Am J Manag Care. 2009 Dec; 15(10 Suppl):S300-5.

See reviews... See all...

Cited by 1 PubMed Central article

Impact of creating a pay for quality improvement (P4QI) incentive program on healthcare disparity: leveraging HIT in rural hospitals and small physician offices. [Perspect Health Inf Manag. 2008]
Impact of creating a pay for quality improvement (P4QI) incentive program on healthcare disparity: leveraging HIT in rural hospitals and small physician offices.
Hart-Hester S, Jones W, Watzlaf VJ, Fenton SH, Nielsen C, Madison M, Arthur C, Marbury D, Rudman L, Patterson R, et al. Perspect Health Inf Manag. 2008; 5:14. Epub 2008 Sep 19.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Pay for performance and medical professionalism.
Pay for performance and medical professionalism.
Qual Manag Health Care. 2008 Jan-Mar ;17(1):9-18.

PubMed
Imaging in cutaneous melanoma.
Imaging in cutaneous melanoma.
Nucl Med Commun. 2008 Oct ;29(10):847-76.

PubMed
Neonatal cutaneous fungal infections.
Neonatal cutaneous fungal infections.
Curr Opin Pediatr. 2005 Aug ;17(4):486-93.

PubMed
Excess deaths associated with underweight, overweight, and obesity.
Excess deaths associated with underweight, overweight, and obesity.
JAMA. 2005 Apr 20 ;293(15):1861-7.

PubMed
Assessment of left ventricular ejection fraction by four different methods using...
Assessment of left ventricular ejection fraction by four different methods using 99mTc tetrofosmin gated SPECT in patients with small hearts: correlation with gated blood pool.
Nucl Med Commun. 2005 Oct ;26(10):885-93.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to:

Pay for performance and medical professionalism.

Source

Abstract

MeSH Terms

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Supplemental Content

Related citations

Cited by 1 PubMed Central article

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information