Like any attempt to regulate physician behavior, the unintended consequences often worsen the situation:
[P4P] also led to unintended effects, such as . . . potential deskilling of doctors as a result of the enhanced role for nurses in managing long-term conditions, a decline in personal/relational continuity of care between doctors and patients, resentment by team members not benefiting financially from payments, and concerns about an ongoing culture of performance monitoring.
Related posts:
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- Unintended consequences of EMTALA
- The unintended consequences of free HIV screening at hospitals
- Restricting resident work hours forces doctors to lie, and other unintended consequences of the 80-hour work week
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