Pay-for-virtue: an option to improve pay-for-performance?

S. Buetow, V. Entwistle

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)894-898
Number of pages5
JournalJournal of Evaluation in Clinical Practice
Volume17
Issue number5
Early online date28 Jul 2011
DOIs
Publication statusPublished - Oct 2011

Fingerprint

Incentive Reimbursement
Reward
Motivation

Keywords

  • health care
  • incentive
  • motivation
  • physician incentive plans
  • quality assurance
  • reimbursement
  • virtues

Cite this

Pay-for-virtue : an option to improve pay-for-performance? / Buetow, S.; Entwistle, V.

In: Journal of Evaluation in Clinical Practice, Vol. 17, No. 5, 10.2011, p. 894-898.

Research output: Contribution to journalArticle

Buetow, S. ; Entwistle, V. / Pay-for-virtue : an option to improve pay-for-performance?. In: Journal of Evaluation in Clinical Practice. 2011 ; Vol. 17, No. 5. pp. 894-898.
@article{f0567817951042d4b0482cb5635f3f5b,
title = "Pay-for-virtue: an option to improve pay-for-performance?",
abstract = "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.",
keywords = "health care, incentive, motivation, physician incentive plans, quality assurance, reimbursement, virtues",
author = "S. Buetow and V. Entwistle",
year = "2011",
month = "10",
doi = "10.1111/j.1365-2753.2011.01722.x",
language = "English",
volume = "17",
pages = "894--898",
journal = "Journal of Evaluation in Clinical Practice",
issn = "1356-1294",
publisher = "Wiley-Blackwell",
number = "5",

}

TY - JOUR

T1 - Pay-for-virtue

T2 - an option to improve pay-for-performance?

AU - Buetow, S.

AU - Entwistle, V.

PY - 2011/10

Y1 - 2011/10

N2 - 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.

AB - 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.

KW - health care

KW - incentive

KW - motivation

KW - physician incentive plans

KW - quality assurance

KW - reimbursement

KW - virtues

UR - http://www.scopus.com/inward/record.url?scp=80053201255&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2753.2011.01722.x

DO - 10.1111/j.1365-2753.2011.01722.x

M3 - Article

AN - SCOPUS:80053201255

VL - 17

SP - 894

EP - 898

JO - Journal of Evaluation in Clinical Practice

JF - Journal of Evaluation in Clinical Practice

SN - 1356-1294

IS - 5

ER -