Is there a best way? The current fee-for-service system perversely rewards ordering tests, no matter what the reason.
Capitated systems, such as paying a fixed fee per patient, goes too far the other way by encouraging test denials.
The best way is probably a salary with bonuses for both productivity and quality.
But no matter what the system, there’s bound to be significant resistance to it. The pie is fixed, and there will be losers to any reform. They will bitterly fight any change.
Related posts:
- Should doctors be on a salary?
- Patients do not want their doctors paid on salary
- Paying doctors by the hour
- Staying with the devil you know
- Salaried physicians are lazy doctors
- Why it’s difficult to put doctors on a salary
- Can doctors resist the temptation of money?
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{ 2 comments }
In Egypt they pay the recently graduated doctors about 42$ a month , and that continue till they get their Masters .
This post is a nice statement of the obvious, but what’s YOUR solution, Kevin?
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