Physician reactions to quantitative individual performance reports
Physician reactions to quantitative individual performance reports
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DOI：
10.1177/1062860606287577
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发表时间：
2006-05-01
影响因子：
1.4
通讯作者：
Greene, Robert A.
中科院分区：
文献类型：
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作者：
Beckman, Howard;Suchman, Anthony L.;Greene, Robert A.
本研究的目的是了解初级保健医生如何经历了引进和发展的个人医生按业绩计薪计划。30名初级保健医生参加了录音焦点小组13和26个月后开始的程序。转录的录音带被用来将评论分组为主题。确定了十个专题小组。从业者审查了他们的个人资料，但发现很难用它们来改变行为。他们关心的是数据的准确性，专家和病人对他们的“分数”的影响，而不是质量测量的有效性。他们描述了该计划如何改变他们的做法，以及对成本、质量和满意度的考虑。人们对按业绩计薪方案对专业精神的影响表示严重关切。初级保健医生对这种按绩效付费的计划持怀疑态度。另一方面，医生描述了积极的影响，使质量，满意度和实践效率的提高。
The purpose of this study was to learn how primary care physicians experienced the introduction and evolution of an individual physician pay-for-performance program. Thirty primary care physicians participated in audiotaped focus groups 13 and 26 months after beginning the program. Transcribed audiotapes were used to group comments into themes. Ten thematic groups were identified. Practitioners reviewed their profiles but found it difficult to use them to change behaviors. They were concerned about the data accuracy, the influence of specialists and patients on their "scores," and, less, the validity of quality measures. They described ways the program changed their practices and consideration of cost, quality, and satisfaction. There were important concerns about the influence of pay-for-performance programs on professionalism. Primary care physicians were skeptical of this pay-for-performance program. On the other hand, physicians described positive influences on making improvements in quality, satisfaction, and practice efficiency.