Pay-for-virtue: an option to improve pay-for-performance?jep_1722 894..898
Stephen Buetow PhD
1
and Vikki Entwistle PhD
2
1
Associate Professor, Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand
2
Professor, Social Dimensions of Health Institute, University of Dundee, Dundee, UK
Keywords
health care, incentive, motivation, physician
incentive plans, quality assurance,
reimbursement, virtues
Correspondence
Associate Professor Stephen A. Buetow
Department of General Practice and Primary
Health Care
University of Auckland
Tamaki Campus
Private Bag 92019
Auckland 1142
New Zealand
E-mail: s.buetow@auckland.ac.nz
Funding: None.
Accepted for publication: 14 June 2011
doi:10.1111/j.1365-2753.2011.01722.x
Abstract
Pay-for-performance schemes reward standardized professional behaviours associated
with effective care. However, they neglect the significance of virtue and devalue and erode
professional motivation based on virtue. Pay for training to cultivate virtue, and/or pay-
for-virtue, may mitigate these dangers. Although virtue is typically considered its own
reward, and the assessment of virtue is problematic, pay-for-virtue could involve (1)
stringent checks on the appropriateness of the standardized care currently rewarded
by pay-for-performance for individual patients or (2) pay for indicators of virtue. These
indicators could be based on virtues identified from a framework of universal virtues and
through logical inferences from features of practice. It is possible that pay-for-virtue could
ultimately strengthen health professionals’ intrinsic motivation for good practice, but this
and the broader effects of pay-for-virtue would need careful investigation.
Introduction
A good health professional ideally provides the right forms of
health care for the right reasons. Current systems for paying health
provider organizations and health professionals offer financial
reasons for and against some particular forms of health care pro-
vision [1]. For example, fee-for-service payments encourage pro-
fessionals to sell more care rather than necessarily better care,
while capitation payments create financial incentives to reduce the
number of interventions that patients receive [1].
Pay-for-performance makes supplemental payments for certain
health care behaviours in order to try to reduce inappropriate
variations in health care delivery and outcomes, cut spiralling
health care costs and extrinsically motivate and reward (or not) the
content of performance by professionals against preset standards.
Typical standards set targets for indicators of particular health care
behaviours (e.g. prescriptions of statins for high cholesterol) or
patient health status (e.g. blood pressure levels) assessed across the
patient population that the provider serves. The standards are sup-
posed to be designed (and revised) to stimulate ongoing improve-
ments in the quality of health care provision and in resource use.
Our concerns are that pay-for-performance emphasizes and
buys standardized behaviours and particular health consequences
while ignoring or downplaying the need to attend appropriately to
variations between individual patients. More generally and more
fundamentally, it can tend to undermine what is often understood
as professionalism in medicine by neglecting the need to support
and strengthen virtue among individual health professionals.
Virtue in an individual is usually understood to depend on the
possession or command of an integrated set of more specific
virtues. Virtues are positive character traits, qualities or disposi-
tions, such as humanity, in which the core values of health profes-
sionals are embedded [2]. They are relatively stable and largely
unconscious determinants of goal-directed performance. The
virtue of wisdom, for example, underpins and integrates recogni-
tion of what is right, or good, in particular circumstances. It helps
to safeguard professional autonomy and pride while protecting the
dignity and broader interests of patients. Virtue is also necessary in
order to grow and be self-aware of the motivation that comes from
inside to act well [3].
Pay-for-performance does not directly assess or financially
reward professional motivation. The current schemes focus on
Journal of Evaluation in Clinical Practice ISSN 1365-2753
© 2011 Blackwell Publishing Ltd, Journal of Evaluation in Clinical Practice 17 (2011) 894–898 894