Pay-for-virtue : an option to improve pay-for-performance?. / Buetow, Stephen; Entwistle, Vikki.
In: Journal of Evaluation in Clinical Practice, Vol. 17, No. 5, 10.2011, p. 894-898.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Pay-for-virtue
T2 - an option to improve pay-for-performance?
A1 - Buetow,Stephen
A1 - Entwistle,Vikki
AU - Buetow,Stephen
AU - Entwistle,Vikki
PY - 2011/10
Y1 - 2011/10
N2 - <p>Pay-for-performance schemes reward standardized professional behaviours associated with effective care. However, they neglect the significance of virtue and devalue and erode professional motivation based on virtue. Pay for training to cultivate virtue, and/or pay-for-virtue, may mitigate these dangers. Although virtue is typically considered its own reward, and the assessment of virtue is problematic, pay-for-virtue could involve (1) stringent checks on the appropriateness of the standardized care currently rewarded by pay-for-performance for individual patients or (2) pay for indicators of virtue. These indicators could be based on virtues identified from a framework of universal virtues and through logical inferences from features of practice. It is possible that pay-for-virtue could ultimately strengthen health professionals' intrinsic motivation for good practice, but this and the broader effects of pay-for-virtue would need careful investigation.</p>
AB - <p>Pay-for-performance schemes reward standardized professional behaviours associated with effective care. However, they neglect the significance of virtue and devalue and erode professional motivation based on virtue. Pay for training to cultivate virtue, and/or pay-for-virtue, may mitigate these dangers. Although virtue is typically considered its own reward, and the assessment of virtue is problematic, pay-for-virtue could involve (1) stringent checks on the appropriateness of the standardized care currently rewarded by pay-for-performance for individual patients or (2) pay for indicators of virtue. These indicators could be based on virtues identified from a framework of universal virtues and through logical inferences from features of practice. It is possible that pay-for-virtue could ultimately strengthen health professionals' intrinsic motivation for good practice, but this and the broader effects of pay-for-virtue would need careful investigation.</p>
KW - health care
KW - incentive
KW - motivation
KW - physician incentive plans
KW - quality assurance
KW - reimbursement
KW - virtues
KW - FINANCIAL INCENTIVES
KW - CARE
KW - PRINCIPLES
KW - CHARACTER
KW - EMPATHY
UR - http://www.scopus.com/inward/record.url?partnerID=yv4JPVwI&eid=2-s2.0-80053201255&md5=9b0e529fc71779804991bff3a84a973f
U2 - 10.1111/j.1365-2753.2011.01722.x
DO - 10.1111/j.1365-2753.2011.01722.x
M1 - Article
JO - Journal of Evaluation in Clinical Practice
JF - Journal of Evaluation in Clinical Practice
SN - 1356-1294
IS - 5
VL - 17
SP - 894
EP - 898
ER -