Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Nov-Dec;26(6):1564-74.
doi: 10.1377/hlthaff.26.6.1564.

Extending the P4P agenda, part 1: how Medicare can improve patient decision making and reduce unnecessary care

John E Wennberg  1 , Annette M O'Connor, E Dale Collins, James N Weinstein
Affiliations

Extending the P4P agenda, part 1: how Medicare can improve patient decision making and reduce unnecessary care

John E Wennberg et al. Health Aff (Millwood). 2007 Nov-Dec.

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.

PubMed Disclaimer

References

    1. Wennberg JE, Fisher ES, Skinner JS. Geography and the Debate over Medicare Reform. Health Affairs. 2002;21:w96–w114. published online 13 February 2002; 10.1377/hlthaff.w2.96. - PubMed
    1. O'Connor AM, et al. Decision Aids for People Facing Health Treatment or Screening Decisions. Cochrane Database of Systematic Reviews. 2003;(no 2):CD001431. - PubMed
    1. O'Connor AM, et al. Toward the Tipping Point: Decision Aids and Informed Patient Choice. Health Affairs. 2007;26(no 3):716–725. - PubMed
    1. Weinstein JN, et al. Trends and Geographic Variations in Major Surgery for Degenerative Diseases of the Hip, Knee, and Spine. Health Affairs. 2004;23:VAR-81–VAR-89. published online 7 October 2004; 10.1377/hlthaff.var.81. - PubMed
    1. Wagner EH, et al. The Effect of a Shared Decisionmaking Program on Rates of Surgery for Benign Prostatic Hyperplasia: Pilot Results. Medical Care. 1995;33(no 8):765–770. - PubMed

Publication types

MeSH terms