Can pay-for-performance programs be patient-centered?

February 1, 2008

Current P4P programs could cause distrust between patient and physician.

Current P4P programs could cause distrust between patient and physician, warns the American College of Physicians, and may unintentionally prompt a doctor to:

With those concerns in mind, the ACP hopes to promote pay-for-performance programs that are more patient-centered. They are concerned that the design of current programs is too limited, focusing on a few specific elements of a single disease or condition to measure and neglecting important other elements of a disease or comorbid conditions. In a position paper published in the Annals of Internal Medicine (12/4/2007), the organization recommended the following actions: