Seidel Rebecca L, Baumgarten Deborah A
Department of Radiology, Emory University, Atlanta, Ga 30322, USA.
J Am Coll Radiol. 2007 Jun;4(6):411-5. doi: 10.1016/j.jacr.2006.12.017.
Pay-for-performance (P4P) programs have been implemented in many health care markets in the United States. The purpose of this study was to survey faculty members and trainees regarding familiarity with the P4P model and their interest in further education.
An eight-question survey designed to explore faculty member and trainee awareness of and attitudes toward P4P was distributed. Data were analyzed using Microsoft Excel.
One hundred four of 144 questionnaires distributed to faculty members (50 of 70) and trainees (54 of 74) were returned. Sixty-one percent of trainees stated that they had never heard of the P4P model. Seventeen percent of trainees and 26% of attending radiologists were aware that P4P programs have already been instituted. Although 74% of trainees agreed that P4P will influence their reimbursement in the future, only 42% of attending radiologists agreed. A minority of trainees and attending radiologists (35%) felt that P4P improves the quality of care, whereas 42% were neutral. A majority were interested in further education.
Faculty members and trainees in diagnostic radiology in a university-based program were unfamiliar with the P4P model of reimbursement and were interested in learning more. Additional investigation is needed to ascertain whether this knowledge gap is widespread. This could influence future education about P4P on a national level.
美国许多医疗保健市场都实施了按绩效付费（P4P）项目。本研究旨在调查教员和学员对P4P模式的熟悉程度以及他们对继续教育的兴趣。
发放了一份包含八个问题的调查问卷，以探究教员和学员对P4P的认知及态度。使用微软Excel分析数据。
向教员（70人中有50人）和学员（74人中有54人）发放的144份问卷中，共收回104份。61%的学员表示他们从未听说过P4P模式。17%的学员和26%的放射科主治医生知晓P4P项目已经实施。尽管74%的学员同意P4P未来会影响他们的报销，但只有42%的放射科主治医生认同这一点。少数的学员和放射科主治医生（35%）认为P4P能提高医疗质量，而42%持中立态度。大多数人对继续教育感兴趣。
一所大学附属医院诊断放射科的教员和学员对P4P报销模式不熟悉，且有兴趣了解更多。需要进一步调查以确定这种知识差距是否普遍存在。这可能会影响未来全国范围内关于P4P的教育。
