Value-Based Purchasing and Physician Professionalism

被引：11

作者：

Casalino, Lawrence P. ^{[1
]}

Khullar, Dhruv ^{[2
,3
]}

机构：

[1] Weill Cornell Med Coll, Dept Healthcare Policy & Res, Div Hlth Policy & Econ, New York, NY USA

[2] Weill Cornell Med Coll, Dept Healthcare Policy & Res, 402 E 67th St,Room 217, New York, NY 10065 USA

[3] Weill Cornell Med Coll, Dept Med, New York, NY USA

来源：

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2019年 / 322卷 / 17期

关键词：

PRIMARY-CARE; QUALITY; INCENTIVES;

D O I：

10.1001/jama.2019.14990

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This Viewpoint discusses the importance of structuring value-based purchasing models around principles of physician professionalism to ensure that measures that lead to more payment are clinically meaningful, do not increase administrative burden, do not displace clinicians' intrinsic motivation to help patients with financial motivations, and do not incentivize physicians to avoid sicker, more complicated patients.

引用

页码：1647 / 1648

页数：2

共 9 条

[1]

ARROW KJ, 1963, AM ECON REV, V53, P941

[2] Beyond Measurement and Reward: Methods of Motivating Quality Improvement and Accountability [J].

Berenson, Robert A. ;

Rice, Thomas .

HEALTH SERVICES RESEARCH, 2015, 50 :2155-2186

[3] Effects of Pay for Performance on the Quality of Primary Care in England [J].

Campbell, Stephen M. ;

Reeves, David ;

Kontopantelis, Evangelos ;

Sibbald, Bonnie ;

Roland, Martin .

NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (04) :368-378

[4] The Theory of Value-Based Payment Incentives and Their Application to Health Care [J].

Conrad, Douglas A. .

HEALTH SERVICES RESEARCH, 2015, 50 :2057-2089

[5] Strong versus Weak Incentives: The Role of Policy, Management, and Theory in a New Research Agenda [J].

Glied, Sherry .

HEALTH SERVICES RESEARCH, 2015, 50 :2223-2228

[6] Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and Outcomes Among Medicare Beneficiaries With Acute Myocardial Infarction [J].

Joynt, Karen E. ;

Blumenthal, Daniel M. ;

Orav, E. John ;

Resnic, Frederic S. ;

Jha, Ashish K. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 308 (14) :1460-1468

[7]

Medicare Payment Advisory Commission, REP C MED PAYM POL M

[8] Relationship of Primary Care Physicians' Patient Caseload With Measurement of Quality and Cost Performance [J].

Nyweide, David J. ;

Weeks, William B. ;

Gottlieb, Daniel J. ;

Casalino, Lawrence P. ;

Fisher, Elliott S. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (22) :2444-2450

[9] From Guideline to Order Set to Patient Harm [J].

Shah, Sachin D. ;

Cifu, Adam S. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 319 (12) :1207-1208

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