Do French GPs disproportionately focus on P4P perimeter?
نویسندگان
چکیده
Payment for Performance (P4P) schemes by which physicians get a financial reward as long as they reach quality and efficiency targets provided by regulator have become increasingly popular in recent years in OECD countries (1) : in 2012, P4P program for primary care physicians were implemented in about 15 OECD countries. In the US, the number of P4P schemes has grown spectacularly, from 39 in 2003 to 160 in 2009 (2). The reasons for this success are to be sought in the economic characteristics of P4P schemes : P4P schemes make possible for the regulator to observe medical practices and quality provided by physicians so that the traditional asymmetry of information between the payer and the provider is strongly decreased within the P4P perimeter (2). P4P is also seen as a way to reduce heterogeneity of performance between GPs, as adherence to recommended care may significantly vary across providers (1, 3).
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