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Related Experiment Video

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Movement Retraining using Real-time Feedback of Performance
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Published on: January 17, 2013

Performance measurement, public reporting, and pay-for-performance.

Kim F Rhoads1, Badrinath M Konety, R Adams Dudley

  • 1Department of Surgery, Stanford University, Stanford, CA 94305, USA.

The Urologic Clinics of North America
|November 29, 2008
PubMed
Summary
This summary is machine-generated.

Incentive programs like public reporting (PR) and pay-for-performance (PFP) are increasingly used in healthcare. This review examines their impact on urologic practice, despite limited conclusive evidence.

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Area of Science:

  • Health Services Research
  • Healthcare Quality Improvement
  • Urology

Background:

  • Incentive-based programs are expanding in healthcare to enhance quality of care.
  • Public reporting (PR) and pay-for-performance (PFP) are key examples of these initiatives.
  • Adoption is occurring at state and federal levels for various clinical conditions.

Purpose of the Study:

  • To review the principles of healthcare quality performance measurement.
  • To examine current PR and PFP programs.
  • To synthesize the literature on the impacts of these programs on urologic practice.

Main Methods:

  • Literature review of recent studies.
  • Analysis of principles in healthcare quality measurement.
  • Examination of existing PR and PFP programs.

Main Results:

  • Limited Level I evidence exists for the positive impacts of PR and PFP.
  • Programs are being piloted for specific clinical conditions.
  • The review documents positive, negative, and future impacts on urologic practice.

Conclusions:

  • PR and PFP are increasingly influential in healthcare delivery.
  • Further research is needed to establish conclusive evidence of their effectiveness.
  • Understanding the multifaceted impacts on urologic practice is crucial for future healthcare policy.