Premium
An incentive approach to physician implementation of medical practice guidelines
Author(s) -
Sonnad Seema S.,
Foreman Stephen Earl
Publication year - 1997
Publication title -
health economics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 109
eISSN - 1099-1050
pISSN - 1057-9230
DOI - 10.1002/(sici)1099-1050(199709)6:5<467::aid-hec289>3.0.co;2-w
Subject(s) - remuneration , payment , incentive , guideline , outcome (game theory) , actuarial science , task (project management) , probabilistic logic , core (optical fiber) , medical practice , business , family medicine , medicine , finance , computer science , economics , microeconomics , management , telecommunications , pathology , artificial intelligence
We propose a probabilistically based incentive payment system for guideline implementation that provides rewards for physicians who follow practice guidelines and additional remuneration for physician leaders who engage in information sharing. All payments are based on observed outcomes of patient treatment. A fixed base payment forms the core of the system with probabilistic offsets calculated from the chance that a ‘good’ outcome occurs without optimal treatment or information. The system pays different physician types for different task sets. © 1997 John Wiley & Sons, Ltd.