General internists' views on pay-for-performance and public reporting of quality scores: a national survey.
Very little is known about rank-and-file physicians' views on pay-for-performance (P4P) and public reporting. In a national survey of general internists, we found strong potential support for financial incentives for quality, but less support for public reporting. Large majorities of respondents stated that these programs will result in physicians' avoiding high-risk patients and will divert attention from important types of care for which quality is not measured. Public and private policymakers might avoid a physician backlash and better succeed at improving health care quality if they consider these concerns when designing P4P and public reporting programs.
Casalino
Lawrence P
LP
Department of Health Studies, University of Chicago, IL, USA. lcasalin@uchicago.edu
Alexander
G Caleb
GC
Jin
Lei
L
Konetzka
R Tamara
RT
D001291:Attitude of Health Personnel; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D033181:Information Dissemination; D007388:Internal Medicine / Q000191:economics / Q000592:standards; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D010816:Physician Incentive Plans / Q000191:economics*; D019984:Quality Indicators, Health Care / Q000191:economics*; D012052:Reimbursement, Incentive; D011795:Surveys and Questionnaires; D014481:United States