Sunday, February 22, 2009

Pay for Performance

Critiquing the  'business of medicine' seems part history, comedy and tragedy, with the latter drama usually involving some compromise in the doctor-patient relationship. The latest attempt to encourage 'pay-for performance' as a potential antidote for the ills wrought by 'fee-for-service' seems like a tragedy waiting to happen.
Since when do doctors need incentives? Isn't the term 'patient advocate' a redundancy? Is the gerbil wheel an apt metaphor or is this more of a convoluted habitrail for patients and doctors to lose each other in?

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