“Financial incentives like pay the bill for
performance project for medical professionals can weaken motivation and worsen performance,”
cautioned US specialists inside an
editorial posted on bmj.com, who added that gaming of the system appeared to be
rife.
Their
viewpoints were really posted alongside an exploration of the negative and
positive outcome of financial incentives led by Prof Paul Glasziou of Bond
University in Australia.
Prof
Glasziou and professionals described the current facts on the performance of
financial incentives as modest and inconsistent and stated that, although reward
plan can often improve the true quality of clinical practice, they could also
be a costly diversion.
Yet
this kind of schemes have been adopted being a key strategy by the NHS in the
UK, Medicare in the US, and several private insurers, utilizing tenet that
individuals answer to rewards. They should have also been mooted in Ireland,
particularly around the regulation of chronic diseases.
“While many spokespersons and
policy-makers consider financial incentives will work at dropping the delay
between latest facts and changes to actually clinical practice, there are quite
a few pitfalls,” they wrote. The
suggested checklist is aimed at leading implementers of financial incentives
past some of these errors.
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