Francois de Brantes of the Health Care Incentives Improvement Institute and Dr. Steffie Woolhandler of the City University of New York School of Public Health offer opposing views on whether physicians should be paid for performance in this article. The concept, which is now being applied to Medicare providers partly on the basis of patient satisfaction surveys, can use financial incentives to reduce poor outcomes, writes de Brantes. Woolhandler argues that such a system may sound appealing, but it would be difficult to establish, would undermine "the mindset required for good doctoring" and would distract doctors from where their focus should be: the patient.
Experts debate pay-for-performance models
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