Department of Neurology, Indiana University School of Medicine, 1701 North Senate Boulevard, Indianapolis, IN 46206, USA.
Neurol Clin. 2010 May;28(2):505-16. doi: 10.1016/j.ncl.2009.11.013.
Pay-for-performance (P4P) initiatives are receiving significant attention in the media and throughout all parts of health care. To improve quality, hundreds of private payers have initiated P4P programs over the past decade. Recently, the federal government has followed suit with its Physicians Quality Reporting Initiative (PQRI). These programs have several potential shortcomings, and questions arise as to their value in truly improving health outcomes. Nevertheless, momentum continues to gather in both the public and private sectors for P4P to serve as a catalyst for health care reform.
按服务绩效付费（P4P）举措在媒体和医疗保健的各个领域都受到了广泛关注。为了提高医疗质量，过去十年中，数以百计的私人支付方已经启动了 P4P 计划。最近，联邦政府也效仿其做法，推出了医师质量报告倡议（PQRI）。这些方案存在一些潜在的缺陷，其在真正改善健康结果方面的价值也引发了质疑。尽管如此，在公共和私营部门中，P4P 作为医疗改革的催化剂继续得到推动。
