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Medical Care Research and Review, Vol. 64, No. 3, 331-343 (2007)
DOI: 10.1177/1077558707300091

Physician Attitudes toward Pay-for-Quality Programs

Perspectives from the Front Line

Gary J. Young

Boston University School of Public Health Department of Veterans Affairs, Boston, health{at}bu.edu

Mark Meterko

Boston University School of Public Health Department of Veterans Affairs, Boston

Bert White

Boston University School of Public Health

Barbara G. Bokhour

Department of Veterans Affairs, Bedford, Massachusetts Boston University School of Public Health

Karen M. Sautter

Boston University School of Public Health

Dan Berlowitz

Department of Veterans Affairs, Bedford, Massachusetts Boston University School of Public Health

James F. Burgess, Jr.

Department of Veterans Affairs, Boston Boston University School of Public Health

Pay-for-quality (P4Q) initiatives are becoming an increasingly popular mechanism for improving quality performance and reducing health care costs in the United States. Because these programs often target primary care physicians, it is important to understand how these physicians perceive and respond to P4Q to design successful programs going forward. This study reports results of a survey regarding attitudes toward P4Q among physicians participating in such programs in Massachusetts and California. Findings indicate physicians have generally positive attitudes toward the concept of P4Q, but are ambivalent about certain features of these programs as currently designed and implemented.

Key Words: financial incentives • quality of care • provider payment • pay-for-performance


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