Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD; Alice Gosfield, Esq; David Gregg, MD; Keith Michl, MD; David Wennberg, MD, MPH; Kevin B. Weiss, MD, MPH; Eric C. Schneider, MD, MSc
Disclaimer: The views expressed in the paper are solely those of the individuals on the advisory board and do not represent the policy of the American College of Physicians or the American Board of Medical Specialties.
Acknowledgment: The authors thank Lea Anne Gardner, RN, PhD, for her review.
Grant Support: By the American College of Physicians Diabetes Initiative, sponsored by an unrestricted educational grant from Novo Nordisk.
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M09-2164.
Requests for Single Reprints: Amir Qaseem, MD, PhD, MHA, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106; e-mail, email@example.com.
Current Author Addresses: Drs. Qaseem and Snow: American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.
Ms. Gosfield: 2309 Delancey Place, Philadelphia, PA 19103.
Dr. Gregg: 5305 Humboldt Avenue South, Minneapolis, MN 55419.
Dr. Michl: Box 1431, Manchester Center, VT 05255.
Dr. Wennberg: 39 Forest Avenue, Portland, ME 04101.
Dr. Weiss: 222 North LaSalle Street, Suite 1500, Chicago, IL 60601.
Dr. Schneider: 20 Park Plaza, 7th Floor, Suite 720, Boston, MA 02116.
Author Contributions: Conception and design: A. Qaseem, V. Snow, A. Gosfield, D. Gregg, K. Michl, D. Wennberg, K.B. Weiss, E.C. Schneider.
Analysis and interpretation of the data: A. Qaseem, K. Michl, D. Wennberg, K.B. Weiss, E.C. Schneider.
Drafting of the article: A. Qaseem, V. Snow, A. Gosfield, D. Gregg, K. Michl, E.C. Schneider.
Critical revision of the article for important intellectual content: A. Qaseem, V. Snow, A. Gosfield, D. Gregg, K. Michl, D. Wennberg, K.B. Weiss, E.C. Schneider.
Final approval of the article: A. Qaseem, V. Snow, D. Gregg, K. Michl, K.B. Weiss, E.C. Schneider.
Statistical expertise: A. Qaseem.
Obtaining of funding: V. Snow, E.C. Schneider.
Administrative, technical, or logistic support: A. Qaseem, E.C. Schneider.
Collection and assembly of data: A. Qaseem, K. Michl, E.C. Schneider.
Qaseem A, Snow V, Gosfield A, Gregg D, Michl K, Wennberg D, et al. Pay for Performance Through the Lens of Medical Professionalism. Ann Intern Med. 2010;152:366-369. doi: 10.7326/0003-4819-152-6-201003160-00006
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Published: Ann Intern Med. 2010;152(6):366-369.
As the costs of health care and the number of uninsured Americans have increased, reform of health care payment systems has become an urgent national imperative. Pay for performance (P4P) has been proposed as one physician payment model. Under P4P, part of a physician's payments is earned on the basis of the quality of care, assessed by using explicit performance measures. The label “pay for performance” is applied to various financial incentive programs that differ in eligibility requirements, selection and scope of measures, formula for determining payment, and magnitude of payments (1, 2).
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