title: Extending the P4P agenda, part 1: how Medicare can improve patient decision making and reduce unnecessary care.
abstract: The decision to undergo many discretionary medical treatments should be based on informed patient choice. Shared decision making is an effective strategy for achieving this goal. The Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to assure that all Americans have access to a certified shared decision-making process. This paper outlines a strategy to achieve informed patient choice as the standard of practice for preference-sensitive care.
authors.affiliation: Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School in Hanover, New Hampshire, USA. john.e.wennberg@dartmouth.edu
authors.forename: John E
authors.initials: JE
authors.lastname: Wennberg
authors.forename: Annette M
authors.initials: AM
authors.lastname: O'Connor
authors.forename: E Dale
authors.initials: ED
authors.lastname: Collins
authors.forename: James N
authors.initials: JN
authors.lastname: Weinstein
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D006278:Medicare / Q000331:legislation & jurisprudence*; D010358:Patient Participation; D011785:Quality Assurance, Health Care / Q000191:economics* / Q000331:legislation & jurisprudence; D012052:Reimbursement, Incentive / Q000331:legislation & jurisprudence*; D014481:United States; D019564:Unnecessary Procedures / Q000191:economics