Navigation Links
Pay-for-Performance Doesn't Shortchange Patients
Date:6/3/2009

VA study found those with complicated conditions still received high-quality care

WEDNESDAY, June 3 (HealthDay News) -- A new study on pay-for-performance medical care should reassure patients and the doctors who treat them.

"On the patient side, there is concern that patients whose condition is complex may not get the high-quality care that they need," explained study author Dr. Laura Peterson. "Doctors are concerned that under pay-for-performance there may be incentives to avoid patients who are very sick, because it takes time to be sure all their conditions are treated properly and their ratings on measures of health-care quality may suffer."

Surprisingly, the study findings showed just the opposite.

Among the 141,609 people treated for high blood pressure at eight Veterans Administration centers, the researchers found that those whose cases were complicated by other medical conditions were more likely to receive better care than those who only had high blood pressure, said Petersen, who is director of the VA Health Services Research and Development Center of Excellence and an associate professor of medicine at Baylor College of Medicine in Houston.

"We looked at two different ways that medical care is graded, data from medical charts and also patients' ratings of their care, whether they were more or less satisfied," Petersen said. "We did not find that patients who had multiple conditions had less satisfactory medical care than those who did not."

For the patients in the study, "the concern is that the time spent treating other conditions would take away time from treating high blood pressure, causing performance on measures of quality to suffer," Petersen said. "However, we did not find that to be the case."

In fact, the study found that veterans with high blood pressure and additional conditions were more likely to get high-quality medical care, she said. The report was published online June 1 in Circulation.

That finding should also "be reassuring to doctors who are concerned that their efforts to manage patients who have a lot of complex conditions would be at a handicap under pay-for-performance," she said.

But the finding does not necessarily apply to all people treated in all medical centers, Petersen cautioned. "The Veterans Administration has a lot of special systems in place to improve the quality of medical care," she said. "It has excellent electronic medical records and systems to report on the quality of care."

Many medical centers don't have such systems, she said, but "the VA could serve as a model for them."

The study does speak to the value of electronic medical records, said Dr. Vincent J. Bufalino, president and chief executive officer of Midwest Heart Specialists, a 50-physician cardiology group in suburban Chicago that has such a system.

"It makes you better because you don't have to read anyone's handwriting, including my own," Bufalino said. "It does streamline your ability to take care of these folks."

And the study has meaning for blood pressure treatment strategies, he added. "It says that knowing someone is sick doesn't mean you can't control his blood pressure," Bufalino said. "You can do it with good follow-up in an electronic setting."

The message for physicians is the importance of meeting guidelines for good medical practice, said Bufalino, who sits on the physicians advisory council for Medicare. "We're not going to pay you as much if you don't meet the guidelines," he said.

More information

Recommendations on blood pressure control are made by the American Heart Association.



SOURCES: Laura A. Petersen, M.D., director, Veterans Administration Health Services Research and Development Center of Excellence, and associate professor, medicine, Baylor College of Medicine, Houston; Vincent J. Bufalino, M.D., president and chief executive officer, Midwest Heart Specialists, Naperville, Ill.; June 1, 2009, Circulation online


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Medicare Prescription Drug Benefit, Nonprofit Hospitals, Ambulatory Surgery Centers, Statistical Methods, and Pay-For-Performance Highlighted In the Latest INQUIRY Journal
2. Highmarks Hospital Pay-for-Performance Program Demonstrates Impressive Results
3. MED3OOO Client Wins IHA Pay-for-Performance Award
4. Doctor pay-for-performance improves patient care
5. Pay-For-Performance Not Getting a Red-Carpet Reception in Arizona
6. Blue Cross of California Introduces Pay-for-Performance Hospital Program
7. Statewide Pay-For-Performance Program in Store for New York Physicians
8. Aurora Health Care Top Quality System in Nation in Medicare, Premier Healthcare Alliance Pay-For-Performance Project
9. Pay-for-performance may benefit doctors who care for very sick
10. Fluctuating eye pressure associated with visual field deterioration in glaucoma patients
11. Comparison of obstetric outcomes between on-call and patients own obstetricians
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Pay-for-Performance Doesn't Shortchange Patients
(Date:6/25/2016)... ... 25, 2016 , ... Experts from the American Institutes for ... Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR ... care planning, healthcare costs and patient and family engagement. , AIR researchers will ...
(Date:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile technology, ... , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can be ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, affiliated ... Weintraub as a prominent plastic surgeon and the network’s newest partner. , ... most handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Ontario , June 27, 2016  VMS Rehab ... Company,s Board will take whatever measures required to build ... Company,s stock which is currently listed on the OTC ... Wexler, Company Chairman and CEO, "We are seeing an ... difficult to understand, not only by the Company, but ...
(Date:6/24/2016)... CHAPEL HILL, N.C. , June 24, 2016 ... in healthcare decisions and regulators/payers have placed more ... this new environment, patient support programs in the ... support for patients, medications. Consequently, pharmaceutical companies are ... to ensure they are providing products and services ...
(Date:6/24/2016)... SAN FRANCISCO, Calif. , June 24, 2016 ... GBT ), a biopharmaceutical company developing novel therapeutics ... significant unmet needs, today announced the closing of ... shares of common stock, at the public offering ... shares in the offering were offered by GBT. ...
Breaking Medicine Technology: