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. 2009 Feb;25(1):71-81, vii.
doi: 10.1016/j.hcl.2008.09.001.

Measuring quality in health care and its implications for pay-for-performance initiatives

Kevin C Chung  1 , Melissa J Shauver
Affiliations

Measuring quality in health care and its implications for pay-for-performance initiatives

Kevin C Chung et al. Hand Clin. 2009 Feb.

Abstract

The quality of health care is important to American consumers, and discussion on quality will be a driving force toward improving the delivery of health care in America. Funding agencies are proposing a variety of quality measures, such as centers of excellence, pay-for-participation, and pay-for-performance initiatives, to overhaul the health care delivery system in this country. It is quite uncertain, however, whether these quality initiatives will succeed in curbing the unchecked growth in health care spending in this country, and physicians understandably are concerned about more intrusion into the practice of medicine. This article outlines the genesis of the quality movement and discusses its effect on the surgical community.

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Figures

Figure 1
Figure 1
Percent of Americans dissatisfied with US healthcare costs and US healthcare quality Adapted from CBS News and the Kaiser Family Foundation, ,
Figure 2
Figure 2
Health attainment (disability-adjusted life expectancy) and healthcare spending (% of GDP) Adapted from World Health Organization
Figure 3
Figure 3
IOM Design Principals for Pay-for-Performance and its Implementation
See this image and copyright information in PMC

References

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    1. Kaiser Family Foundation poll. Storrs, CT: Roper Center for Public Opinion Research; 2007.
    1. National Health Expenditure Accounts. 2006. [Accessed March 3, 2008]. Highlights. http://www.cms.hhs.gov/NationalHealthExpendData/downloads/highlights.pdf.

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