Health Affairs, 26, no. 3 (2007): w405-w414 (Published online 10 April 2007) doi: 10.1377/hlthaff.26.3.w405 © 2007 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

This Article Full Text (HTML) Reprint (PDF) Erratum Erratum (v26,p1794) Submit a response to this article View responses Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Casalino, L. P. Articles by Ramos, D. Search for Related Content PubMed PubMed Citation Articles by Casalino, L. P. Articles by Ramos, D. Related Collections Business Of Health Consumer Issues Health Reform Hospitals Medicare Minority Health Physicians Quality Of Care

Web Exclusives

Will Pay-For-Performance And Quality Reporting Affect Health Care Disparities?

Pay-for-performance (P4P) and public quality-reporting programs can increase the quality of health care for the services being measured. However, unless carefully designed, these programs may have the unintended consequence of increasing racial and ethnic disparities. This paper describes ways in which P4P and public reporting programs may increase disparities and suggests ways in which programs might be designed that will make them likely to reduce, or at least not increase, disparities.

                      What's this?

This article has been cited by other articles:

				R. M. Werner, L. E. Goldman, and R. A. Dudley Comparison of Change in Quality of Care Between Safety-Net and Non-Safety-Net Hospitals JAMA, May 14, 2008; 299(18): 2180 - 2187. [Abstract] [Full Text] [PDF]

				E. C. Schneider, M. R. Nadel, A. M. Zaslavsky, and E. A. McGlynn Assessment of the Scientific Soundness of Clinical Performance Measures: A Field Test of the National Committee for Quality Assurance's Colorectal Cancer Screening Measure Arch Intern Med, April 28, 2008; 168(8): 876 - 882. [Abstract] [Full Text] [PDF]

				T. Bodenheimer Coordinating Care -- A Perilous Journey through the Health Care System N. Engl. J. Med., March 6, 2008; 358(10): 1064 - 1071. [Full Text] [PDF]

				B. D. Smedley Moving Beyond Access: Achieving Equity In State Health Care Reform Health Aff., March 1, 2008; 27(2): 447 - 455. [Abstract] [Full Text] [PDF]

				J. Blustein Who Is Accountable for Racial Equity in Health Care? JAMA, February 20, 2008; 299(7): 814 - 816. [Full Text] [PDF]

				R. G. Locke and M. Srinivasan Attitudes Toward Pay-for-Performance Initiatives Among Primary Care Osteopathic Physicians in Small Group Practices J Am Osteopath Assoc, January 1, 2008; 108(1): 21 - 24. [Abstract] [Full Text] [PDF]

				S. M. Bernheim, J. S. Ross, H. M. Krumholz, and E. H. Bradley Influence of Patients' Socioeconomic Status on Clinical Management Decisions: A Qualitative Study Ann. Fam. Med, January 1, 2008; 6(1): 53 - 59. [Abstract] [Full Text] [PDF]

				E. A Kerr and B. Fleming Making performance indicators work: experiences of US Veterans Health Administration BMJ, November 10, 2007; 335(7627): 971 - 973. [Full Text] [PDF]

				A. T. Chien, M. H. Chin, A. M. Davis, and L. P. Casalino Pay for Performance, Public Reporting, and Racial Disparities in Health Care: How Are Programs Being Designed? Med Care Res Rev, October 1, 2007; 64(5_suppl): 283S - 304S. [Abstract] [PDF]

				A. S Bierman and J. P Clark Performance measurement and equity BMJ, June 30, 2007; 334(7608): 1333 - 1334. [Full Text] [PDF]

eLetters: