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Physician attitudes toward participating in a financial incentive program for LDL reduction are associated with patient outcomes

机译：医生对参加LDL减少的金融激励计划的态度与患者结果有关

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1. Introduction: Pay for performance (P4P) programs, in which providers are paid financial incentives for achieving quality goals, have been widely adopted across the U.S. More than 40 private sector P4P programs currently exist. In the public sector, the Centers for Medicare and Medicaid Services has established a Value-Based Purchasing Program for hospitals and physicians for Medicare patients, and more than half of states have implemented P4P in their Medicaid programs. To date, studies of the impact of P4P on clinical outcomes have revealed mixed results. Physicians' attitudes toward P4P programs potentially affect the success of P4P programs, yet only a few studies have evaluated the attitudes and experiences of physicians participating in these programs. Concurrently with the growth of P4P programs, there has been increasing interest in paying patients directly to engage in health behaviors such as quitting smoking and taking their medications. While studies have assessed patient attitudes about incentives, to our knowledge no studies have evaluated how physicians feel about incentives for patients. Physicians' attitudes toward rewarding patients financially could also influence the effect of these incentives in a clinical practice setting.
机译：1.介绍：支付绩效（P4P）计划，其中提供商支付了实现优质目标的财务激励，已广泛采用美国，目前存在40多个私营部门P4P计划。在公共部门，医疗保险和医疗补助服务中心为医疗保险患者的医院和医生制定了基于价值的采购计划，超过一半的国家在其医疗补助计划中实施了P4P。迄今为止，对P4P对临床结果的影响的研究表明了混合结果。医生对P4P计划的态度可能影响P4P计划的成功，但只有一些研究已经评估了参与这些计划的医生的态度和经验。与P4P计划的增长同时，对直接支付患者的兴趣越来越兴趣，从事戒烟和服用药物等卫生行为。虽然研究已经评估了对激励措施的患者的态度，但对于我们的知识没有学习，没有研究过医师对患者的激励方式。医师对奖励患者的态度也可能影响这些激励措施在临床实践环境中的影响。

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