title: A multimodal strategy based on pay-per-performance to improve quality of care of family practitioners in Argentina.
abstract: Pay-for-performance has become increasingly common to complement physician reimbursement. We designed a quality framework to measure family physicians' performance in a managed care setting in Buenos Aires. We aimed to assess the effectiveness of a multimodal intervention based on pay-for-performance, teamwork, continuous education, and audit and feedback to improve quality. After 2 years, a significant improvement was observed in most of the indicators measuring clinical effectiveness and some improvements were observed in other domains. Despite these results, a better performance matrix is needed to capture not only specific conditions but also other aspects like integrating, prioritizing, and personalizing care.
authors.affiliation: Division of Family and Community Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Rubinstein
authors.forename: Fernando
authors.initials: F
authors.lastname: Rubinstein
authors.forename: Marcela
authors.initials: M
authors.lastname: Botargues
authors.forename: Mariela
authors.initials: M
authors.lastname: Barani
authors.forename: Karin
authors.initials: K
authors.lastname: Kopitowski
mesh_terms: D000328:Adult; D000368:Aged; D001118:Argentina; D017598:Efficiency, Organizational / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010816:Physician Incentive Plans; D010821:Physicians, Family / Q000191:economics* / Q000592:standards; D010934:Planning Techniques; D011320:Primary Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards; D013647:Task Performance and Analysis