Open AccessExtending The P4P Agenda, Part 1: How Medicare Can Improve Patient Decision Making And Reduce Unnecessary Care
Author(s) -
John E. Wennberg,
Annette M. O’Connor,
E. Dale Collins,
James Neil Weinstein
Publication year - 2007
Publication title -
health affairs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.837
H-Index - 178
eISSN - 2694-233X
pISSN - 0278-2715
DOI - 10.1377/hlthaff.26.6.1564
Subject(s) - medicaid , certification , medical decision making , preference , decision aids , process (computing) , patient choice , actuarial science , business , nursing , health care , medicine , family medicine , computer science , economics , microeconomics , alternative medicine , management , pathology , economic growth , operating system
The decision to undergo many discretionary medical treatments should be based on informed patient choice. Shared decision making is an effective strategy for achieving this goal. The Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to assure that all Americans have access to a certified shared decision-making process. This paper outlines a strategy to achieve informed patient choice as the standard of practice for preference-sensitive care.