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Pay-for-performance may benefit doctors who care for very sick
Date:6/1/2009

HOUSTON - (June 1, 2009) Physicians who treat patients with multiple health problems will fare well under pay-for-performance, which bases physician reimbursement on the quality of care provided, said researchers at Baylor College of Medicine (www.bcm.edu) and the Michael E. DeBakey Veterans Affairs Medical Center in Houston (http://www.houston.va.gov/) in a report in the current issue of the journal Circulation.

When the researchers evaluated the high blood pressure treatment provided to patients who had other serious health condition, they found that such patients were more likely to receive high quality care than patients who had no co-existing health problems.

"Pay-for-performance raises a lot of fears and assumptions that the reimbursement will not be fair toward doctors who care for the sickest patients," said Dr. Laura A. Petersen (http://www.hsrd.houston.med.va.gov/health-policy/petersenl.htm), the study's lead author and director of the Houston VA Health Services Research and Development Center of Excellence and an associate professor of medicine at BCM. "What we found was that doctors do a good job of taking care of a lot of complex conditions, even better than they think they do."

Petersen, who is also chief of Health Services Research at BCM, said the result surprised her.

"When a patient comes in with many problems, there is often less time to address any single one," she said. She and her colleagues found, however, that physicians appear to identify the problems that present the most risk and deal with them effectively.

"This is good news and should be reassuring to doctors and health policy makers," she said.

The research team chose to study high blood pressure because it is a common, symptomless problem that can have serious consequences, affecting the heart, brain
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Contact: Gracie Gutierrez
ggutierr@bcm.edu
713-798-4710
Baylor College of Medicine
Source:Eurekalert

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