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Pay For Performance (P4P)
Pay for Performance (P4P)
Pay for performance in healthcare provides financial incentives to clinicians or hospitals in order to
improve health outcomes. Clinical outcomes, such as improved survival, are not easy to measure,
therefore pay for performance systems usually measure process outcomes.
There is an ongoing debate whether pay for performance improves healthcare. Even large incentives
may not change the way medicine is practised. However, in some observational studies incentives
do change the practice of medicine, but even when they do, they do not show to improve clinical
outcomes. There is criticism concerning pay for performance for reasons as that it is a technique
borrowed from corporate management, where the main outcome of concern is profit, and therefore
designed to meet the specific...show more content...
P4P rewards physicians, hospitals, medical groups, and other healthcare providers when they are
able to meet certain performance measures of quality (indicators for quality) and efficiency. In
contrast, it may penalize caregivers for suboptimal outcomes, medical errors, or increased costs.
The small number of studies performed in several large healthcare systems only have shown modest
improvements in specific outcomes or quality indicators involved, but often effects are not sustained,
and improved outcomes were rarely or not measured[ ]. Moreover, most studies fail to demonstrate
reductions in money spend. Although scientific medical organisations and associations have
approved some incentive programs, they also have expressed concerns with respect to the validity of
quality indicators, patient and physician autonomy and privacy, and increased administrative burdens.
More specific for Intensive Care there is limited information available. In an overview empirical
studies, narrative and systematic reviews, and commentaries addressing pay–for–performance
programs were summarized[
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Pay For Performance (P4P)

  • 1. Pay For Performance (P4P) Pay for Performance (P4P) Pay for performance in healthcare provides financial incentives to clinicians or hospitals in order to improve health outcomes. Clinical outcomes, such as improved survival, are not easy to measure, therefore pay for performance systems usually measure process outcomes. There is an ongoing debate whether pay for performance improves healthcare. Even large incentives may not change the way medicine is practised. However, in some observational studies incentives do change the practice of medicine, but even when they do, they do not show to improve clinical outcomes. There is criticism concerning pay for performance for reasons as that it is a technique borrowed from corporate management, where the main outcome of concern is profit, and therefore designed to meet the specific...show more content... P4P rewards physicians, hospitals, medical groups, and other healthcare providers when they are able to meet certain performance measures of quality (indicators for quality) and efficiency. In contrast, it may penalize caregivers for suboptimal outcomes, medical errors, or increased costs. The small number of studies performed in several large healthcare systems only have shown modest improvements in specific outcomes or quality indicators involved, but often effects are not sustained, and improved outcomes were rarely or not measured[ ]. Moreover, most studies fail to demonstrate reductions in money spend. Although scientific medical organisations and associations have approved some incentive programs, they also have expressed concerns with respect to the validity of quality indicators, patient and physician autonomy and privacy, and increased administrative burdens. More specific for Intensive Care there is limited information available. In an overview empirical studies, narrative and systematic reviews, and commentaries addressing pay–for–performance programs were summarized[ Get more content on HelpWriting.net