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J Ambul Care Manage. 2009 Apr-Jun;32(2):103-14. doi: 10.1097/JAC.0b013e31819940f7.

A multimodal strategy based on pay-per-performance to improve quality of care of family practitioners in Argentina.

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Division of Family and Community Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.


Pay-for-performance has become increasingly common to complement physician reimbursement. We designed a quality framework to measure family physicians' performance in a managed care setting in Buenos Aires. We aimed to assess the effectiveness of a multimodal intervention based on pay-for-performance, teamwork, continuous education, and audit and feedback to improve quality. After 2 years, a significant improvement was observed in most of the indicators measuring clinical effectiveness and some improvements were observed in other domains. Despite these results, a better performance matrix is needed to capture not only specific conditions but also other aspects like integrating, prioritizing, and personalizing care.

[Indexed for MEDLINE]

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