A study in Annals of Internal Medicine finds in recent years, pay-for-performance programs and public reporting of provider performance have become integral components of strategies to improve the quality of health care in many countries. However, as highlighted by the authors, quality measurement can also have unintended consequences. Among the measures that these authors advocate to reduce such consequences is allowing physicians to report exceptions for not following a recommendation.
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Preventing Unintended Consequences of Quality Measurement for Venous Thromboembolism Prophylaxis, Annals of Internal Medicine