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J Gen Intern Med. 2006 Feb;21 Suppl 2:S9-S13.

Physician pay-for-performance. Implementation and research issues.

Author information

1
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA. chris001@umn.edu

Abstract

Recent research underscores the gaps that exist between evidence-based medical practices and the care that many patients actually receive. Recognizing this, large purchasers are experimenting with new reimbursement arrangements called pay-for-performance (P4P) that tie a portion of payments for physician services to measures of quality. Agency theory, from the discipline of economics, provides a perspective on the challenges P4P is likely to encounter. The focus of most P4P initiatives on medical group performance raises additional questions about its potential effectiveness as a catalyst for change.

PMID:
16637965
PMCID:
PMC2557129
DOI:
10.1111/j.1525-1497.2006.00356.x
[Indexed for MEDLINE]
Free PMC Article

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