tag:blogger.com,1999:blog-9551150.post3455192407772743419..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: Pay-for-performance and physician professionalismRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-9551150.post-85035574023056296652008-07-21T12:27:00.000-04:002008-07-21T12:27:00.000-04:00In fact, the sudden official leap to "universal el...In fact, the sudden official leap to "universal electronic medical records" is probably in part fueled by a desire of payers to exert more control over the medical profession. EMR is a powerful enabler of P4P schemes.<BR/><BR/>The leap in 2004 to the establishment of a national Health IT office cannot be explained by the documented low diffusion and effects of health IT alone. Data on benefitsInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-23490119409967984832008-07-21T09:39:00.000-04:002008-07-21T09:39:00.000-04:00Pay for performance? Bah! Humbug! The true title i...Pay for performance? Bah! Humbug! The true title is "Pay for Conformance." Where's the incentive for innovative solutions? The mediocritization of American medicine continues ...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-47801062179233487062008-07-20T12:17:00.000-04:002008-07-20T12:17:00.000-04:00patient autonomy and shared decision making, (both...patient autonomy and shared decision making, (both pillars of medical ethics/professionalism) will be systematically degraded under current P4P schemes. More importantly, so will physician honesty. <BR/><BR/>If a physician needs certain outcomes to be labeled a "high quality provider" then selective advice will inevitably be given to achieve such outcomes. Why tell someone "the evidence is Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-29928001641195296052008-07-20T09:30:00.000-04:002008-07-20T09:30:00.000-04:00Regarding vaccines, we have seen a number of large...Regarding vaccines, we have seen a number of large drug companies buying vaccine and generic firms. Most recently a piece on how all adults are woefully behind on their childhood immunizations and how this is a national tragedy. The immediate solution is to, of course, submit to a complete cycle of new vaccinations.<BR/><BR/>While maintaining adequate protection against threats is a positive Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-20509104488024846122008-07-19T21:21:00.000-04:002008-07-19T21:21:00.000-04:00So, You Want To Be A Doctor……Lately in the media, ...So, You Want To Be A Doctor……<BR/><BR/>Lately in the media, others have said and appear to express concern about the apparent shortage of primary care doctors in particular. Typically, the main reason believed and speculated by others for this decline of this health care profession specialty that historically has been the apex of our health care system is lack of pay of this specialty when Anonymousnoreply@blogger.com