绩效薪酬可能会嵌入不平等

The BMJ Pub Date : 2025-10-07 DOI:10.1136/bmj.r2075

Rakesh Velmurugan

{"title":"绩效薪酬可能会嵌入不平等","authors":"Rakesh Velmurugan","doi":"10.1136/bmj.r2075","DOIUrl":null,"url":null,"abstract":"Majeed and Molokhia provide an insightful assessment of the Quality and Outcomes Framework (QOF).1 But their focus on administrative burdens and diminishing returns may understate a more perilous consequence: pay-for-performance schemes might systematically embed, as opposed to alleviate, health inequalities. The intrinsic design of pay-for-performance schemes is fundamentally misaligned with the needs of the most vulnerable patients for whom the linear, single disease …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"107 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pay for performance might embed inequalities\",\"authors\":\"Rakesh Velmurugan\",\"doi\":\"10.1136/bmj.r2075\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Majeed and Molokhia provide an insightful assessment of the Quality and Outcomes Framework (QOF).1 But their focus on administrative burdens and diminishing returns may understate a more perilous consequence: pay-for-performance schemes might systematically embed, as opposed to alleviate, health inequalities. The intrinsic design of pay-for-performance schemes is fundamentally misaligned with the needs of the most vulnerable patients for whom the linear, single disease …\",\"PeriodicalId\":22388,\"journal\":{\"name\":\"The BMJ\",\"volume\":\"107 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-10-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The BMJ\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/bmj.r2075\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The BMJ","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmj.r2075","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

Majeed和Molokhia对质量和成果框架（QOF）进行了深刻的评估但他们对行政负担和收益递减的关注可能低估了一个更危险的后果：绩效薪酬计划可能会系统性地嵌入健康不平等，而不是缓解这种不平等。按绩效付费计划的内在设计从根本上与最脆弱患者的需求不一致，对他们来说，线性的单一疾病……

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Pay for performance might embed inequalities

Majeed and Molokhia provide an insightful assessment of the Quality and Outcomes Framework (QOF).1 But their focus on administrative burdens and diminishing returns may understate a more perilous consequence: pay-for-performance schemes might systematically embed, as opposed to alleviate, health inequalities. The intrinsic design of pay-for-performance schemes is fundamentally misaligned with the needs of the most vulnerable patients for whom the linear, single disease …

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

The BMJ

自引率

0.00%

发文量