Will pay-for-performance and quality reporting affect health care disparities?
Will pay-for-performance and quality reporting affect health care disparities?
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DOI：
10.1377/hlthaff.26.3.w405
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发表时间：
2007-05-01
期刊：
影响因子：
9.7
通讯作者：
Elster, Arthur
中科院分区：
文献类型：
--
作者：
Casalino, Lawrence P.;Elster, Arthur
绩效付费（P4P）和公共质量报告计划可以提高被衡量服务的医疗保健质量。然而，除非精心设计，否则这些计划可能会产生增加种族和民族差异的意外后果。本文介绍了P4P和公共报告程序可能会增加差距的方式，并建议如何设计程序，使它们有可能减少，或至少不会增加，差距。
Pay-for-performance (P4P) and public quality-reporting programs can increase the quality of health care for the services being measured. However, unless carefully designed, these programs may have the unintended consequence of increasing racial and ethnic disparities. This paper describes ways in which P4P and public reporting programs may increase disparities and suggests ways in which programs might be designed that will make them likely to reduce, or at least not increase, disparities.