?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Strategy+to+Support+Improvement+of+Healthcare+Quality.&rft.creator=Zejdlova%2C+IA&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=One+of+the+latest+market-based+solutions+to+the+rising+costs+and+quality+gaps+in+health+care+is+pay+for+performance.+Pay+for+performance+is+the+use+of+financial+incentives+to+promote+the+delivery+of+designated+standards+of+care.+It+is+an+emerging+movement+in+health+insurance+(initially+in+Britain+and+United+States).+Providers+under+this+arrangement+are+rewarded+for+meeting+pre-established+targets+for+delivery+of+healthcare+services.+This+is+a+fundamental+change+from+fee+for+service+payment.Also+known+as+%22P4P%22+or+%E2%80%9Cvalue-based+purchasing%2C%E2%80%9D+this+payment+model+rewards+physicians%2C+hospitals%2C+medical+groups%2C+and+other+healthcare+providers+for+meeting+certain+performance+measures+for+quality+and+efficiency.+Disincentives%2C+such+as+eliminating+payments+for+negative+consequences+of+care+(medical+errors)+or+increased+costs%2C+have+also+been+proposed.+In+the+developed+nations%2C+the+rapidly+aging+population+and+rising+health+care+costs+have+recently+brought+P4P+to+the+forefront+of+health+policy+discussions.+Pilot+studies+underway+in+several+large+healthcare+systems+have+shown+modest+improvements+in+specific+outcomes+and+increased+efficiency%2C+but+no+cost+savings+due+to+added+administrative+requirements.+Statements+by+professional+medical+societies+generally+support+incentive+programs+to+increase+the+quality+of+health+care%2C+but+express+concern+with+the+validity+of+quality+indicators%2C+patient+and+physician+autonomy+and+privacy%2C+and+increased+administrative+burdens.+This+article+serves+as+an+introduction+to+pay+for+performance.+We+discuss+the+goals+and+structure+of+pay+for+performance+plans+and+their+limitations+and+potential+consequences+in+the+health+care+area.&rft.publisher=Kakkilaya+BS&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2013-01-25&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F8930%2F1%2F2012-4-1.pdf&rft.identifier=++Zejdlova%2C+IA++(2013)+Strategy+to+Support+Improvement+of+Healthcare+Quality.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F8930%2F