dc.contributor.author | Wharam, James Franklin | |
dc.contributor.author | Paasche-Orlow, Michael K. | |
dc.contributor.author | Farber, Neil J. | |
dc.contributor.author | Sinsky, Christine | |
dc.contributor.author | Rucker, Lisa | |
dc.contributor.author | Rask, Kimberly J. | |
dc.contributor.author | Figaro, M. Kathleen | |
dc.contributor.author | Braddock, Clarence | |
dc.contributor.author | Barry, Michael John | |
dc.contributor.author | Sulmasy, Daniel P. | |
dc.date.accessioned | 2011-11-16T18:24:21Z | |
dc.date.issued | 2009 | |
dc.identifier.citation | Wharam, J. Frank, Michael K. Paasche-Orlow, Neil J. Farber, Christine Sinsky, Lisa Rucker, Kimberly J. Rask, M. Kathleen Figaro, Clarence Braddock, Michael J. Barry, and Daniel P. Sulmasy. 2009. High quality care and ethical pay-for-performance: a society of general internal medicine policy analysis. Journal of General Internal Medicine 24(7): 854-859. | en_US |
dc.identifier.issn | 0884-8734 | en_US |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:5346784 | |
dc.description.abstract | BACKGROUND: Pay-for-performance is proliferating, yet its impact on key stakeholders remains uncertain. OBJECTIVE: The Society of General Internal Medicine systematically evaluated ethical issues raised by performance-based physician compensation. RESULTS: We conclude that current arrangements are based on fundamentally acceptable ethical principles, but are guided by an incomplete understanding of health-care quality. Furthermore, their implementation without evidence of safety and efficacy is ethically precarious because of potential risks to stakeholders, especially vulnerable patients. CONCLUSION: We propose four major strategies to transition from risky pay-for-performance systems to ethical performance-based physician compensation and high quality care. These include implementing safeguards within current pay-for-performance systems, reaching consensus regarding the obligations of key stakeholders in improving health-care quality, developing valid and comprehensive measures of health-care quality, and utilizing a cautious evaluative approach in creating the next generation of compensation systems that reward genuine quality. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Springer-Verlag | en_US |
dc.relation.isversionof | doi://10.1007/s11606-009-0947-3 | en_US |
dc.relation.hasversion | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695523/pdf/ | en_US |
dash.license | LAA | |
dc.subject | ethics | en_US |
dc.subject | health policy | en_US |
dc.subject | pay-for-performance | en_US |
dc.subject | quality improvement | en_US |
dc.subject | physician reimbursement | en_US |
dc.title | High Quality Care and Ethical Pay-for-performance: A Society of General Internal Medicine Policy Analysis | en_US |
dc.type | Journal Article | en_US |
dc.description.version | Version of Record | en_US |
dc.relation.journal | Journal of General Internal Medicine | en_US |
dash.depositing.author | Wharam, James Franklin | |
dc.date.available | 2011-11-16T18:24:21Z | |
dash.affiliation.other | HMS^Population Medicine | en_US |
dash.affiliation.other | HMS^Medicine-Massachusetts General Hospital | en_US |
dc.identifier.doi | 10.1007/s11606-009-0947-3 | * |
dash.contributor.affiliated | Barry, Michael | |
dash.contributor.affiliated | Wharam, James | |