Stephen E. Silver, MD
To the Editors: Financial incentives are ubiquitous throughout our society, affecting the performance of laborers, tradesmen, and professionals. To what extent do financial incentives determine which parts an auto mechanic replaces or how much time he spends on the job? Do we expect total honesty from an auto mechanic, a plumber, an electrician, or anyone else working on a fee-for-service basis? What makes doctors different?
In Alan L. Hillman's editorial on health maintenance organizations, financial incentives, and physicians' judgments, the idea is expressed that using financial incentives to encourage cost-effective care is legitimate. Dr. Hillman states that a relation between
Silver SE. Financial Incentives. Ann Intern Med. ;113:808–809. doi: 10.7326/0003-4819-113-10-808
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Published: Ann Intern Med. 1990;113(10):808-809.
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