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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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Nonprimary care physicians' views on office-based quality incentive and improvement programs.

Karen M Murphy1, David B Nash

  • 1Physicians Health Alliance, Clarks Summit, Pennsylvania 18411, USA. murphyk@temple.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|November 13, 2008
PubMed
Summary

Nonprimary care physicians see value in quality improvement programs, especially with infrastructure support for tools like electronic medical records. Specialty societies significantly influence their views on these evolving healthcare performance initiatives.

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Area of Science:

  • Health Services Research
  • Medical Economics
  • Physician Quality Measurement

Background:

  • The pay-for-performance (PFP) movement in healthcare is expanding beyond primary care.
  • Current PFP programs often lack physician input and empirical evidence of effectiveness.
  • There is a growing trend for payers to include nonprimary care physicians in quality incentive programs.

Purpose of the Study:

  • To investigate nonprimary care physicians' perspectives on office-based quality incentive and improvement programs.
  • To understand factors influencing physicians' views on quality initiatives.
  • To identify preferred incentive designs for implementing quality improvements.

Main Methods:

  • A survey was administered to nonprimary care physicians.
  • Participants represented specialties including cardiology, hematology, oncology, obstetrics/gynecology, orthopedic surgery, and urology.
  • Data collected focused on views regarding quality incentive and improvement programs.

Main Results:

  • Nonprimary care physicians acknowledge the value of office-based quality incentive and improvement programs.
  • Specialty societies were identified as key influencers of physicians' opinions on quality improvement.
  • Physicians expressed support for incentive models that provide infrastructure grants, such as for electronic medical record implementation.

Conclusions:

  • Nonprimary care physicians are receptive to quality improvement initiatives, particularly when financial and infrastructural support is provided.
  • Engaging specialty societies may be crucial for the successful implementation of PFP programs for non-specialist physicians.
  • Future PFP designs should consider physician-recommended incentives, including grants for technological adoption.