TY - JOUR
T1 - Pay for performance and medical professionalism
AU - Hendrickson, Marissa A.
PY - 2008/1/1
Y1 - 2008/1/1
N2 - Health care delivery systems are widely studying and implementing physician pay for performance (P4P) initiatives to improve quality and control costs. However, the increasing focus on quality-driven financial incentives has some troubling implications for medical professionalism. This article examines the P4P concept in light of a notion of medical fiduciary professionalism that dates back to the 18th-century Scottish physician John Gregory. Gregory's principles serve as a framework to assess the appropriateness of P4P initiatives in disseminating the principles of high-quality care without damage to professionalism, the patient-physician relationship, and access to care for all patients.
AB - Health care delivery systems are widely studying and implementing physician pay for performance (P4P) initiatives to improve quality and control costs. However, the increasing focus on quality-driven financial incentives has some troubling implications for medical professionalism. This article examines the P4P concept in light of a notion of medical fiduciary professionalism that dates back to the 18th-century Scottish physician John Gregory. Gregory's principles serve as a framework to assess the appropriateness of P4P initiatives in disseminating the principles of high-quality care without damage to professionalism, the patient-physician relationship, and access to care for all patients.
KW - Physician incentive plans
KW - Professionalism
UR - http://www.scopus.com/inward/record.url?scp=38349128791&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38349128791&partnerID=8YFLogxK
U2 - 10.1097/01.QMH.0000308633.81979.7b
DO - 10.1097/01.QMH.0000308633.81979.7b
M3 - Article
C2 - 18204373
AN - SCOPUS:38349128791
SN - 1063-8628
VL - 17
SP - 9
EP - 18
JO - Quality management in health care
JF - Quality management in health care
IS - 1
ER -