SEARCH
Current Location:
>
> This Story

starstarstarstarstar (1)
Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

Never Miss a Story

Sign up for email alerts

 

More Industry Headlines

GE's new ventilator may save hospital $5 million annually Nutritional assessment software brings personalized medicine to ICU

International brain cancer consortium takes aim at better linear accelerator outcomes Elekta to fund group with hopes of closing clinical evidence gaps

All-in-one imaging ISO 4med to adjust business strategy Consulting division will segregate into new company

Cardiac ultrasound comes to Argentinian jungle population via ASEF, FAC and Philips Mission provides screening for 653 individuals

This month in Medical History - The cure for venereal disease From the August issue of HCB News magazine

fMRI reveals adolescents may not outgrow ADHD in adulthood after all What role do brain structure and memory function play?

Using fMRI to inform antipsychotic prescriptions Indexing connectivity patterns may lead to psychiatric precision medicine

Among critically ill, study finds probiotics useless against 'superbugs' More research to come, with focus on non-ICU subjects

Mayo Clinic researchers discover molecular 'code' for 'turning off' cancer cells Restoring miRNA molecules may suppress abnormal cell growth

Hospira announces first installation of Plum 360 infusion pump Designed with an eye on IV safety

Researchers question pay-for-performance schemes

by Brendon Nafziger , DOTmed News Associate Editor
Rewarding doctors for doing good things and cutting out bad ones seems like a no-brainer, but researchers writing in the current issue of the British Medical Journal say pay-for-performance schemes might undermine physician motivation and are often based on flimsy evidence.

Pay-for-performance schemes, which tie financial incentives to meeting certain quality objectives, are becoming more popular, according to the authors. At least 170 initiatives have been started in the United States. Similar programs exist in the United Kingdom and Australia.

Story Continues Below Advertisement

qualiTEE - reliabiliTEE - repairabiliTEE - we guaranTEE

Bayer HealthCare Multi Vendor Service will repair your probe with the same precision and care you provide to your patients. Call us at 1-844-MVS-5100 (1-844-687-5100) or visit www.ri.bayer.com



But in their paper, the researchers say that there's often little reliable evidence that most programs work over the long-term, save health systems money, or actually better patient outcomes.

"The evidence on whether financial incentives are more effective than other interventions is often weak and poorly reported," wrote the researchers, led by Paul P. Glasziou, a professor with the Center for Research in Evidence-Based Practice at Bond University in Queensland, Australia.

Gaming the system

A big worry is that instead of resulting in better patient outcomes, such programs merely encourage doctors to game the system. For instance, in programs that reward doctors for risk-adjusted mortality and morbidity results, doctors could engage in "upcoding," massaging the reimbursement codes to make patients seem sicker than they are to qualify for higher payments.

Outright data manipulation is another concern. A 2005 study cited by the researchers found that 16 percent of English emergency rooms studied directly tweaked their ER data to make it seem like they met a four-hour discharge target.

In an accompanying editorial, a trio of U.S. economists and public health experts warn that possibly the bigger problem with pay-for-performance schemes is that they rest on "flawed assumptions" of human motivation.

"Performance based pay may increase output for straightforward manual tasks," wrote Steffie Woolhandler, a professor at City University of New York, Dan Ariely a professor of psychology and behavioral economics at Duke University, and David U. Himmelstein, also a professor at City University. "However, a growing body of evidence from behavioral economics and social psychology indicates that rewards can undermine motivation and worsen performance on complex cognitive tasks, especially when motivation is high to begin with."

The checklist

Still, if policymakers are going to go ahead with pay-for-performance schemes, the Australian economists developed a nine-point checklist to help them avoid some of the pitfalls inherent in these programs.

Continue reading Researchers question pay-for-performance schemes...
  Pages: 1 - 2 >>

Related:


Interested in Medical Industry News? Subscribe to DOTmed's weekly news email and always be informed. Click here, it takes just 30 seconds.

You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2015 DOTmed.com, Inc.
ALL RIGHTS RESERVED