Exclusion of Patients from Pay-for-Performance Targets by English Physicians | Zendy

Tim Doran | Zendy; Catherine Fullwood | Zendy; David Reeves | Zendy; Hugh Gravelle | Zendy; Martín Roland | Zendy

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Exclusion of Patients from Pay-for-Performance Targets by English Physicians

Author(s) -

Tim Doran,

Catherine Fullwood,

David Reeves,

Hugh Gravelle,

Martín Roland

Publication year - 2008

Publication title -

new england journal of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 19.889

H-Index - 1030

eISSN - 1533-4406

pISSN - 0028-4793

DOI - 10.1056/nejmsa0800310

Subject(s) - medicine , pay for performance , quality (philosophy) , family medicine , actuarial science , health care , philosophy , epistemology , economics , economic growth , business

In the English pay-for-performance program, physicians use a range of criteria to exclude individual patients from the quality calculations that determine their pay. This process, which is called exception reporting, is intended to safeguard patients against inappropriate treatment by physicians seeking to maximize their income. However, exception reporting may allow physicians to inappropriately exclude patients for whom targets have been missed (a practice known as gaming).

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