Journal Article
One-liner abstract (description): Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness.
Journal Article
The authors aggregated claims data for the years 2004 and 2005 from four health plans in Massachusetts.
Journal Article
Health plans and other payers should address statistical uncertainty when they use physician cost-profiles to categorize physicians into low or high-cost tiers.
Journal Article
Pay-for-performance, transparency, and other innovative ways of compensating physicians will only work if, at the same time, the system for providing care has clear objectives and specific tools to help physicians achieve those objectives.
Journal Article
Emergency department physicians are devising an ever-expanding list of workarounds to deal with ED overcrowding, but the author argues that their success in doing so perhaps enables abuse of patients rather than their protection.
Journal Article
The author argues that it is time to expand the notion of medical leadership and demand that leaders be accountable for explaining how their leadership is focused on improving health, reducing its variation, and doing so in an affordable way.
Journal Article
Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.
Journal Article
Assess the robustness of patient responses to a new national survey of patient experience as a basis for providing financial incentives to doctors.
Report
This document explores how physician pay for performance (P4P) programs would affect health system performance along nine dimensions.
Report
Discusses the tendencies of Air Force physicians and dentists to accept Multiyear Special Pay.
Journal Article
A large group of California physicians given financial incentives to improve the quality of medical care have begun to embrace an array of changes important to advancing quality.
Journal Article
To describe practice patterns of primary care physicians (PCPs) for the diagnosis, treatment and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), the authors surveyed 556 PCPs in Boston, Chicago, and Los Angeles (RR=52%). Only 62% reported ever seeing a patient like the one described in the vignette. In all, 16% were 'not at all' familiar with CP/CPPS, and 48% were 'not at all' familiar with the National Institutes of Health classification scheme. PCPs reported practice patterns regarding CP/CPPS, which are not supported by evidence.
Journal Article
Examines the relative influence of patient-related factors and physician referral on mental health service utilization among patients after a traumatic physical injury. A fully structured interview was administered prospectively by trained lay persons to Los Angeles Country trauma center injury patients. Findings highlighted the importance of physician referral in facilitating access to mental health services for trauma injury survivors.
Journal Article
Men treated for localized prostate cancer have a different opinion about their quality of life than their physicians have.
Journal Article
Examines the effect of multiyear special pay on attrition from the U.S. Air Force medical corps.
Journal Article
The authors surveyed cancer physicians to understand how patients' age and comorbidity influence adjuvant chemotherapy recommendations and whether physician or practice characteristics also affect these recommendations.
Report
Summarizes the authors' analysis of the projected supply of and demand for physicians who provide patient care in a region that includes the Inland Southern California area.
Research Brief
This fact sheet describes a study that found that policies targeting physicians' medical malpractice payment histories as a way to deter medical malpractice are ineffective, mainly because paying physicians are not the negligent ones.
Journal Article
US hospitals have had voluntary incident reporting systems for many years, but the effectiveness of these systems is unknown.
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