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Physicians support pay for performance but oppose public reporting

Physician Practice Advisor, March 7, 2007

Three out of four primary care physicians support the use of financial rewards as an incentive for better medical care, according to a study in the March/April issue of Health Affairs. However, most of these physicians oppose public reporting of such quality assessments at the individual or group level.

When surveyed about pay for performance, fewer than one-third of physicians believed that existing quality measures were sufficient, and only slightly more than one-third of physicians believed health plans and the government would work to make quality measures accurate. Significant findings include the following:

Nearly three-fourths of respondents strongly (32%) or somewhat (41%) agree that "if the measures are accurate, physicians should be given financial incentives for quality."
38% agreed strongly (5%) or somewhat (33%) that "health plans will try hard to make quality measures as accurate as possible." Only 35% agreed strongly (5%) or somewhat (30%) that the government would do so.
Only 45% agreed strongly (8%) or somewhat (37%) with public reporting on the medical group level, even if the measures involved were accurate.

Click here to read the Health Affairs abstract.

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