http://www.kevinmd.com/blog/2007/08/p4p-losing-sight-of-big-picture.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 http://www.kevinmd.com/blog/2007/08/p4p-losing-sight-of-big-picture.html#comment-79114 The Independent Urologist Thu, 16 Aug 2007 16:03:00 +0000 http://clients.emmense.com/kevinmd/2007/08/p4p-losing-sight-of-the-big-picture.html#comment-79114 I think P4P is inevitable. But if you stop to think about, it is a completely insane concept. On one hand, we, as physicians are taught to evaluate the patients as individuals, have informed consent dicussions, and taylor treatments to the unique needs of the patient based on our judgments, training, and knowledge combined with the patient's own health literacy, language proficiency, ethnic and cultural backgrounds, associated medical conditions, financial resources, and their own desires, and we are supposed to do it in the span of a 15 minute visit. P4P, in essence, discourages us from doing exactly what we have been trained to do by offering "cookie cutter" solutions to what are not cookie cutter problems. Does anyone really believe that some aloof administrators can develop viable P4P plans that can encompass everything that we, the "boots on the ground" have to accomplish. I think not. Having said that, P4P is H2S (here to stay). I think P4P is inevitable. But if you stop to think about, it is a completely insane concept. On one hand, we, as physicians are taught to evaluate the patients as individuals, have informed consent dicussions, and taylor treatments to the unique needs of the patient based on our judgments, training, and knowledge combined with the patient’s own health literacy, language proficiency, ethnic and cultural backgrounds, associated medical conditions, financial resources, and their own desires, and we are supposed to do it in the span of a 15 minute visit. P4P, in essence, discourages us from doing exactly what we have been trained to do by offering “cookie cutter” solutions to what are not cookie cutter problems. Does anyone really believe that some aloof administrators can develop viable P4P plans that can encompass everything that we, the “boots on the ground” have to accomplish. I think not. Having said that, P4P is H2S (here to stay).

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