Medical Professionalism and Pay-For-Performance
Among the core principle of professionalism are that physicians should work to make sure and improve quality and that patients’ interests should always come before private or pecuniary interests. Physicians face many different situations in daily base life but all of these are professionals ideals usually physicians are trying to take it into the account.Challenges in payment systems can create incentives unethical behaviour according to the physician's pecuniary interests in opposition to high-quality care. That is also possible all this perverse incentives in physician payments can cause the physicians become like cost of patients healthcare only belongs to patients themselves. Altruism is a great virtue but it would be unrealistic
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Pay-for-performance aims to pay doctors more when they deliver higher-quality care to patient in public hospital. Pay- For- Performance aligns both financial and professional incentives towards good quality, which all of these are promote professional values
Of course that idealistic view. All these programs provoked big amount of distress and worry, we can see it in Society for General Internal Medicine’s Ethics Committee's journal. This report would be helpful to understand series of practical ways in which program might go wrong. There are also problems relate to the innovation of the field. These Problems are definitions and measures of quality lack of the accuracy at best and lack of the evidence that this program improves quality of care. When we can answer these problems accurately can help establish a research agenda. Other problems relate to the underlying risks that pay-for-performance poses to vulnerable populations and the physicians who serve them. It is possible to reduce some of this risks with improved program design. Sometimes there are problems