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In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for performance systems usually evaluate process quality and efficiency, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking. This model also penalizes health care providers for poor outcomes, medical errors, or increased costs. Integrated delivery systems where insurers and providers share in the cost are intended to help align incentives for value-based care.

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  • ペイ・フォー・パフォーマンス (ja)
  • Pay for performance (healthcare) (en)
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  • 医療におけるペイ・フォー・パフォーマンス(Pay for performance、P4P)とは、よい治療成果を上げた医師に対し金銭的インセンティブを与えること。医師の治療成果は、それを計測するのは非常に難しいため、P4P制度はたいてい血圧降下や禁煙支援など計測可能な分野で用いられることが多い。 (ja)
  • In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for performance systems usually evaluate process quality and efficiency, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking. This model also penalizes health care providers for poor outcomes, medical errors, or increased costs. Integrated delivery systems where insurers and providers share in the cost are intended to help align incentives for value-based care. (en)
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  • In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for performance systems usually evaluate process quality and efficiency, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking. This model also penalizes health care providers for poor outcomes, medical errors, or increased costs. Integrated delivery systems where insurers and providers share in the cost are intended to help align incentives for value-based care. Professional societies in the United States have given qualified approval to incentive programs, but express concern with the validity of quality indicators, patient and physician autonomy and privacy, and increased administrative burdens. (en)
  • 医療におけるペイ・フォー・パフォーマンス(Pay for performance、P4P)とは、よい治療成果を上げた医師に対し金銭的インセンティブを与えること。医師の治療成果は、それを計測するのは非常に難しいため、P4P制度はたいてい血圧降下や禁煙支援など計測可能な分野で用いられることが多い。 (ja)
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