HealthcarePapers 6(4) May 2006 : 47-50.doi:10.12927/hcpap..18264

Pay-for-Performance - Can It Work in Canada?

Thomas E. Feasby and Cindy Gerdes


Physician reimbursement in Canada has been dominated by pay-for-volume which leads to high utilization. The concern is that this does not promote attention to quality issues that are known to affect health services. However, the evidence that pay-for-quality works is weak, despite the logic of the approach. Also, pay-for-quality methods that seem to work in primary care may not be appropriate in specialties such as surgery. Canada offers opportunities to assess the effect of pay-for-performance in several areas. Developing primary care networks are attractive locations to study the effect of pay-for-quality, perhaps even in a randomized trial. Specialized high-volume surgical programs, such as the Alberta arthroplasty pilot project, might be study of pay-for-participation, in a partnership of providers and sponsors.



Be the first to comment on this!

Note: Please enter a display name. Your email address will not be publically displayed