TY - JOUR
T1 - Physician pay-for-performance
T2 - Implementation and research issues
AU - Christianson, Jon B.
AU - Knutson, David J.
AU - Mazze, Roger S.
PY - 2006/2
Y1 - 2006/2
N2 - 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.
AB - 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.
KW - Evidence-based medicine
KW - Implementation
UR - http://www.scopus.com/inward/record.url?scp=33645306301&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33645306301&partnerID=8YFLogxK
U2 - 10.1111/j.1525-1497.2006.00356.x
DO - 10.1111/j.1525-1497.2006.00356.x
M3 - Review article
C2 - 16637965
AN - SCOPUS:33645306301
VL - 21
SP - S9-S13
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
SN - 0884-8734
IS - SUPPL. 2
ER -