J Med Assoc Ga. 2007;96(2):20-3.
PFP is a health plan reimbursement model that compensates physicians for meeting selected quality and efficiency targets and has gained considerable momentum throughout the health care system. Although it is reasonable that physician performance measurement and reporting programs be developed, there is strong question whether current PFP programs meet the rigors of scientific validity. The current tools and methodologies simply fail to measure quality as it links to performance. Physicians are being measured through a faulty system. Therefore, the physician community needs to aggressively support changes to these systems. Although physicians have taken steps to challenge the accuracy and fairness of PFP findings, little change has been evident. Physicians continue to be involved in such programs and are encouraged to use these comments and other articles to assist them in evaluating PFP and other incentive programs.
按绩效付费(PFP)是一种健康计划报销模式,该模式根据医生是否达到选定的质量和效率目标来给予补偿,并且在整个医疗保健系统中已获得相当大的发展势头。虽然开发医生绩效评估和报告项目是合理的,但当前的按绩效付费项目是否符合科学有效性的严格标准存在很大疑问。当前的工具和方法根本无法衡量与绩效相关的质量。医生正通过一个有缺陷的系统接受评估。因此,医生群体需要积极支持对这些系统进行变革。尽管医生已采取措施质疑按绩效付费结果的准确性和公平性,但几乎没有明显变化。医生继续参与此类项目,并被鼓励利用这些评论和其他文章来帮助他们评估按绩效付费及其他激励项目。