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dc.creatorSnyder, Loisen
dc.creatorNeubauer, Richard L.en
dc.date.accessioned2016-01-08T23:17:11Zen
dc.date.available2016-01-08T23:17:11Zen
dc.date.created2007-12-04en
dc.date.issued2007-12-04en
dc.identifierdoi:10.7326/0003-4819-147-11-200712040-00011en
dc.identifier.bibliographicCitationAnnals of Internal Medicine 2007 December 4; 147(11): 792-794en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Pay-for-performance+principles+that+promote+patient-centered+care:+an+ethics+manifesto&title=Annals+of+Internal+Medicine+&volume=147&issue=11&date=2007-12&au=Snyder,+Lois;+Neubauer,+Richard+L.en
dc.identifier.urihttp://dx.doi.org/10.7326/0003-4819-147-11-200712040-00011en
dc.identifier.urihttp://hdl.handle.net/10822/961032en
dc.description.abstractPay-for-performance programs are growing, but little evidence exists on their effectiveness or on their potential unintended consequences and effects on the patient-physician relationship. Pay-for-performance has the potential to help improve the quality of care, if it can be aligned with the goals of medical professionalism. Initiatives that provide incentives for a few specific elements of a single disease or condition, however, may neglect the complexity of care for the whole patient, especially the elderly patient with multiple chronic conditions. Such programs could also result in the deselection of patients, "playing to the measures" rather than focusing on the patient as a whole, and misalignment of perceptions between physicians and patients. The primary focus of the quality movement in health care should not be on "pay for" or "performance" based on limited measures, but rather on the patient. The American College of Physicians hopes to move the pay-for-performance debate forward with a patient-centered focus--one that puts the needs and interests of the patient first--as these programs evolve.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:311436en
dc.subjectDiseaseen
dc.subjectEthicsen
dc.subjectGoalsen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectIncentivesen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subject.classificationPatient Relationshipsen
dc.subject.classificationQuality of Health Careen
dc.subject.classificationEconomics of Health Careen
dc.titlePay-for-Performance Principles That Promote Patient-Centered Care: An Ethics Manifestoen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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