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Pay for performance in orthopaedic surgery.

Read G Pierce1, Kevin J Bozic, David S Bradford

  • 1University of California, San Francisco, CA, USA.

Clinical Orthopaedics and Related Research
|February 10, 2007
PubMed
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Pay for performance (P4P) links physician pay to quality measures. Orthopaedic surgeons show limited P4P understanding and desire more involvement in its development for successful implementation.

Area of Science:

  • Health Services Research
  • Medical Economics
  • Orthopaedic Surgery

Background:

  • Traditional healthcare reimbursement models struggle with cost-effectiveness and quality.
  • Pay for performance (P4P) is a recent strategy linking physician reimbursement to adherence to quality metrics.
  • Limited research exists on P4P's impact, especially within orthopaedic surgery.

Purpose of the Study:

  • To assess orthopaedic surgeons' understanding of P4P.
  • To gauge surgeon perceptions regarding P4P's implementation and stakeholder intentions.
  • To identify surgeon preferences for clinician involvement in P4P program design.

Main Methods:

  • Survey distributed to orthopaedic surgeons.
  • Analysis of surgeon awareness, skepticism, and desired involvement in P4P.

Related Experiment Videos

  • Qualitative assessment of concerns regarding P4P implementation.

    • Main Results:

    • Orthopaedic surgeons demonstrate a limited understanding of P4P.
    • Significant skepticism exists towards non-physician stakeholders' motives.
    • Surgeons strongly advocate for increased clinician participation in shaping P4P initiatives.

    Conclusions:

    • Clinician awareness and active involvement are crucial for successful P4P program development in orthopaedics.
    • Addressing surgeon concerns and fostering collaboration are essential for effective P4P implementation.
    • P4P is poised to significantly impact orthopaedic surgeons, necessitating their engagement.