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Journal of General Internal Medicine

Erschienen in:

01.10.2008 | Original Article

Patient Opinions Regarding ‘Pay for Performance for Patients’

verfasst von: Judith A. Long, MD, Marie Helweg-Larsen, PhD, Kevin G. Volpp, MD, PhD

Erschienen in: Journal of General Internal Medicine | Ausgabe 10/2008

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Abstract

Background

Pay for performance (P4P) programs have shown only modest improvements in outcomes and do not target patient behaviors. Many large employers and payers are turning to pay for performance for patients (P4P4P) to reduce health costs and improve the health of their covered populations. How these programs may be perceived by patients is unknown.

Objective

To assess patients’ opinion of the acceptability of P4P4P.

Design

Cross-sectional self-administered survey.

Participants

Patients in waiting rooms in two university-based primary care clinics.

Measurements

Participants were asked their opinions about paying people to quit smoking, lose weight, control their blood pressure, or control their diabetes.

Results

Respondents were split on whether P4P4P is desirable. Thrity-six to 42% thought it was a good/excellent idea to pay smokers to quit smoking, obese people to lose weight, people with hypertension to control their blood pressure, or people with diabetes to control their blood sugar, while 41–44% of the sample thought it was a bad/very bad idea. Smokers and patients who were obese endorsed P4P4P more favorably as a means to achieving tobacco cessation and weight loss than their non-smoking and non-obese counterparts.

Conclusions

Acceptance of paying patients for performance by the general population is equivocal. Establishing the efficacy of paying patients for performance may help it gain wider acceptance.

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Titel: Patient Opinions Regarding ‘Pay for Performance for Patients’
verfasst von: Judith A. Long, MD
Marie Helweg-Larsen, PhD
Kevin G. Volpp, MD, PhD
Publikationsdatum: 01.10.2008
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe 10/2008
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-008-0739-1

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Abstract

Background

Objective

Design

Participants

Measurements

Results

Conclusions

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