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. 2006 Feb;21 Suppl 2(Suppl 2):S9-S13.
doi: 10.1111/j.1525-1497.2006.00356.x.

Physician pay-for-performance. Implementation and research issues

Jon B Christianson  1 , David J Knutson, Roger S Mazze
Affiliations

Physician pay-for-performance. Implementation and research issues

Jon B Christianson et al. J Gen Intern Med. 2006 Feb.

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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