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Physician compensation programs in academic medical centers.

Margie C Andreae1, Kirk Blad, Michael D Cabana

  • 1The Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, USA. andreae@med.umich.edu

Health Care Management Review
|August 1, 2006
PubMed
Summary

Incentive-based physician compensation programs in academic health centers generally support the academic mission. These programs positively influence clinical productivity, scholarly work, education quality, and faculty satisfaction.

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Area of Science:

  • Health Policy
  • Medical Education
  • Academic Medicine

Background:

  • Academic health centers face challenges balancing clinical demands with their academic mission.
  • The implementation of incentive-based physician compensation models is increasing.
  • Concerns exist regarding the potential impact of these financial incentives on core academic functions.

Purpose of the Study:

  • To systematically review the effects of incentive-based physician compensation programs on the academic mission.
  • To evaluate the influence of these programs on clinical, educational, and scholarly outcomes.

Main Methods:

  • Systematic literature review methodology was employed.
  • Studies examining physician compensation models in academic settings were analyzed.

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  • Outcomes related to productivity, quality, and satisfaction were assessed.

    • Main Results:

    • Most reviewed compensation programs showed positive impacts.
    • Improvements were noted in clinical and scholarly productivity.
    • Enhanced quality of education and increased faculty satisfaction were frequently observed.

    Conclusions:

    • Incentive-based physician compensation can align with and support the academic mission.
    • These programs appear beneficial for clinical, educational, and faculty well-being.
    • Careful program design is likely key to maximizing positive academic outcomes.