PHA-Exchange> Health Affairs: Quality Incentives And Disparities

[claudio at hcmc.netnam.vn]

 from Kathleen Ford  <KFord at projecthope.org> -----

Health Affairs: Quality Incentives And Disparities
--------------------------------------------------

P4P And Quality Reporting: How They Could Worsen Disparities, And What To Do 
About It

Pay-for-performance (P4P) and public quality-reporting programs offer the 
potential to increase the quality of health care overall, but they threaten to 
actually decrease quality for minority and low-income patients in the process. 
In an article published today on the Health Affairs Web site, Larry Casalino 
and Arthur Elster explain first how current incarnations of P4P and reporting 
programs for physicians could worsen health care quality disparities, and 
second how these rapidly proliferating "external incentives" might be revamped 
to avoid this result. The article focuses on P4P and public reporting programs 
for physicians, but similar points apply to external incentives aimed at other 
types of health care providers, such as hospitals, say Casalino, an assistant 
professor of health studies at the University of Chicago, and Elster, director 
of the Division of Medicine and Public Health at the American Medical 
Association.

You can read the article by Casalino and Elster at
http://content.healthaffairs.org/cgi/content/abstract/hlthaff.26.3.w405



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