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An incentive approach to physician implementation of medical practice guidelines

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  • Seema S. Sonnad
  • Stephen Earl Foreman

Abstract

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.

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  • Seema S. Sonnad & Stephen Earl Foreman, 1997. "An incentive approach to physician implementation of medical practice guidelines," Health Economics, John Wiley & Sons, Ltd., vol. 6(5), pages 467-477, September.
    • Handle: RePEc:wly:hlthec:v:6:y:1997:i:5:p:467-477
    DOI: 10.1002/(SICI)1099-1050(199709)6:5<467::AID-HEC289>3.0.CO;2-W
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    References listed on IDEAS

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    Cited by:

    1. Lurås, Hilde, 2009. "General Practice: Four Empirical Essays on GP Behaviour and Individuals’ Preferences for GPs," HERO Online Working Paper Series 2004:1, University of Oslo, Health Economics Research Programme.

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