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Editorials |18 December 2012

Pay-for-Performance: Not a Magic Bullet

Martin Roland, DM

Martin Roland, DM
From University of Cambridge, Cambridge CB2 0SR, United Kingdom.

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From University of Cambridge, Cambridge CB2 0SR, United Kingdom.

    Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-2717.

    Requests for Single Reprints: Martin Roland, DM, Cambridge Centre for Health Services Research, University of Cambridge, Institute of Public Health, Robinson Way, Cambridge CB2 0SR, United Kingdom; e-mail, mr108@cam.ac.uk.

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This article has been corrected. The original version (PDF) is appended to this article as a supplement.
On 20 July 1854, an advertisement in the New York Daily Tribune announced Deseler's “new cure for fever and ague.” Aside from wanting to know the constituents of the cure (possibly arsenic), contemporary physicians would want to know more about this new treatment—the types of fever it aided, the optimum dose, side effects, and so on. Contemporary payers would want to know whether the new treatment improved patient outcomes, tempering initial enthusiasm with questions about effectiveness, adverse reactions, and cost. In contrast, in their search for a cure-all for poor quality, many payers in the past decade have turned uncritically to pay-for-performance (P4P). They will be disappointed by the systematic review of P4P in this issue (1).

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Roland M. Pay-for-Performance: Not a Magic Bullet. Ann Intern Med. 2012;157:912-913. doi: 10.7326/0003-4819-157-12-201212180-00014

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Published: Ann Intern Med. 2012;157(12):912-913.

DOI: 10.7326/0003-4819-157-12-201212180-00014

©
2012 American College of Physicians
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