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

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

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Employee Performance AppraisalEvidence-Based MedicineGroup PracticeHealth Services ResearchHumansPhysician Incentive PlansPractice Patterns, Physicians'Quality Assurance, Health CareReimbursement, IncentiveJournal Article

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Jon B Christianson, David J Knutson, Roger S Mazze. 2006. Physician pay-for-performance. Implementation and research issues.. https://doi.org/10.1111/j.1525-1497.2006.00356.x

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