As pay-for-performance takes hold, get ready for more of this:
Should I start statins on the drooling demented to lower their LDL? Should I preach to paranoid schizophrenics that they must quit smoking? Doing so might help ease my burdens””will it ease theirs? Without a financial incentive, I treated practice guidelines as guidelines, and I treated patients as patients. With financial incentives, will the guidelines become my goal? Will I lose patience for patients who are just a means to my means?
Related posts:
- Should patients be striving for perfect health?
- Providing universal care, should patients be held accountable?
- Blue Cross targeted its "rat out" letters to capitated doctors
- EHRs in the real world
- Will paying patients to lose weight be effective?
- Perverse incentives
- "One doctor’s carrot may be another’s stick"
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{ 1 comment }
Does this mean we don’t have to see patients (treat the ECHO, LDL level, med list according to diagnosis sheet, etc.)
If P4P is a totally objective “all-or-none” standard, perhaps it eliminates the need to see patients altogether.
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