Are Pay-for-Performance Programs a Threat to Medical Professionalism?

  1. Howard Brody, MD, PhD
  1. From University of Texas Medical Branch, Galveston, TX 77555.

    TO THE EDITOR:

    Snyder and Neubauer (1) correctly depict pay-for-performance as a possible threat to professionalism in medicine. The contradiction between professionalism and pay-for-performance is, however, more serious than the authors acknowledge.

    The core concept of professionalism is the physician's willingness to put self-interest …

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