Navigation Links
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 and kidneys.

In their study, the researchers identified 141,609 patients with high blood pressure in a VA database. Of these 22,595 had no other serious health conditions; 70,098 had conditions that could be related to the high blood pressure (concordant), 12,283 other health conditions not related to high blood pressure (discordant) and 36,633 had both.

Blood pressure was controlled for 12,956 (57.3 percent) of patients with no other health conditions, 45,334 (64.7 percent) of those with concordant or related health conditions and 7,742 (63 percent) of those with other conditions not related to blood pressure. Of those with both concordant and discordant condition, 25,339 or 69.2 percent had blood pressure controlled.

The researchers noted that quality of care increased with the number of other conditions the patient had. In other words, the sicker the patient, the better the care, even after statistically controlling for the numbers of visits with a doctor.

"Our results should be reassuring for policy-makers who have faced crticism that performance measures, public reporting, and pay-for-performance initiatives may penalize health care providers of patients with multiple co-existing chronic conditions," they wrote.


'/>"/>

Contact: Gracie Gutierrez
ggutierr@bcm.edu
713-798-4710
Baylor College of Medicine
Source:Eurekalert

Related medicine news :

1. Aurora Health Care Top Quality System in Nation in Medicare, Premier Healthcare Alliance Pay-For-Performance Project
2. Statewide Pay-For-Performance Program in Store for New York Physicians
3. Blue Cross of California Introduces Pay-for-Performance Hospital Program
4. Pay-For-Performance Not Getting a Red-Carpet Reception in Arizona
5. Doctor pay-for-performance improves patient care
6. MED3OOO Client Wins IHA Pay-for-Performance Award
7. Highmarks Hospital Pay-for-Performance Program Demonstrates Impressive Results
8. Medicare Prescription Drug Benefit, Nonprofit Hospitals, Ambulatory Surgery Centers, Statistical Methods, and Pay-For-Performance Highlighted In the Latest INQUIRY Journal
9. Vandetanib shows clinical benefit when combined with docetaxel for lung cancer
10. Chocolate Milks Natural Muscle Recovery Benefits Match or May Even Surpass a Specially Designed Carbohydrate Sports Drink
11. Women Who Run May Benefit From Extra Folic Acid
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/13/2016)... (PRWEB) , ... February 13, 2016 , ... When an Au Pair comes ... always sure what they are in for and they are often worried things won’t go ... they were hoping for. This year’s Au Pair of the Year winner’s all commented how ...
(Date:2/12/2016)... ... , ... Mystic Buddha Publishing House presents Valentine’s Day tips on different forms ... - Dr. Frederick Lenz. , According to Publisher Roger Cantu, “Blue Skies ... teaching and helping others. Valentine’s Day celebrates love in all its forms, and ...
(Date:2/12/2016)... ... ... , Back to the Future , Feb. 25, 2016 — 11:00 a.m. – 12:30 p.m. ... learn from history are doomed to repeat it.” , An analysis of CDRH’s enforcement actions ... takes time. , Take a close look at the warning letters the agency sent ...
(Date:2/12/2016)... ... February 12, 2016 , ... Coco Libre, the maker of coconut ... Events LA GRAMMY’s Style Lounge Event. Coco Libre will offer musicians and celebrities the ... the big event. The invitation-only gifting suite, held this year at the W Hollywood ...
(Date:2/12/2016)... ... 12, 2016 , ... Every winter, someone is killed, injured or loses a ... Burn Center, part of the Allegheny Health Network, has partnered with Etna Volunteer ... Heaters Need Space” campaign. , “Space Heaters Need Space” aims to bring ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... SEOUL, South Korea , Feb. 12, ... Inc. today announced they will form a partnership ... precision medicine in cancer. The goal of the ... technology with Macrogen,s high-throughput Next Generation Sequencing capabilities ... Clinical Laboratory Improvement Amendments (CLIA) of 1988 by ...
(Date:2/12/2016)... North Carolina , 12 februari 2016 ... Inc. (AAI/CML), een toonaangevende leverancier van productie ... en biotechnologische industrieën, kondigt vandaag een uitbreiding ... mogelijkheden op haar locatie in ... vraag heeft geleid tot meerdere recente investeringen. ...
(Date:2/11/2016)... - Cardiac Marker Diagnostic ... and Cancer Therapy. - European Point of Care ... - Key Diagnostic Testing Markets. - Molecular ... Genetic Testing. - Molecular Diagnostics in Infectious Disease ... Diagnostic Products World Markets. - Point of Care ...
Breaking Medicine Technology: