Does Pay-for-Performance Improve the Quality of Health Care?

  1. Laura A. Petersen, MD, MPH
  1. From Michael E. DeBakey Veteran Affairs Medical Center, Houston, Texas.

    IN RESPONSE:

    Dr. Van Swol appropriately highlights the importance of valid, reliable assessment of health care quality as the foundation of pay-for-performance programs. He asserts that this can be achieved only through a universal electronic health record and points out the disproportionate burden of implementation in solo and rural primary health care practice settings. While I agree with Dr. Van Swol on …

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    1. Ann Intern Med April 3, 2007 vol. 146 no. 7 538-539
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