Physician pay-for-performance: Implementation and research issues

Jon B. Christianson, David J. Knutson, Roger S. Mazze

Research output: Contribution to journalReview articlepeer-review

38 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)S9-S13
JournalJournal of general internal medicine
Issue numberSUPPL. 2
StatePublished - Feb 2006


  • Evidence-based medicine
  • Implementation


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