Journal Reports
Published: The Wall Street Journal; June 16,
2013; www.wsj.com Alternatively just google
the title and writer’s name.
Level of Difficulty: ***
Note
to the Student: If you have never written an argumentative essay or need to
brush up on it, this is the task for you. Take notes of the arguments for and
against as well as information about both systems as you read. You will need
them for your essay. There is an example of the writing task under Sample
Essays.
BEFORE YOU READ
· Doctors, Quality of Care, and Pay for Performance https://www.youtube.com/watch?v=D6u96jL-8l8
Financial Incentives and Health System Performance - Meredith
Rosenthal
QUESTIONS
1.
What
customary mode of paying doctors is being shelved?
2.
On
what two novel criteria will Medicare payments now depend?
3.
Subjecting
patients to unnecessary tests and hospital visits are both examples of……………….
4.
The
objection critics have is that doctors are able to …………………………………………………………...
5.
In
what case can the traditional fee for service model be useful?
6.
The
overall disadvantage of the fee for service model is that it can lead to a lot
of………………..
7.
In
the case of The Health Care Incentives Improvement Institute, what determines
success for a doctor?
8.
What
does “The idea” refer to in the phrase “The idea is increasingly prevalent for
procedures”? You will need to teak the text.
9.
The
British National Health System Trial is an example of a study that
……………………………………
10.
The
solution to the problems that emerged in the above study and the US Medicare
study is………………………………………………………………………………………………………………………………………………
11.
What
does “That” refer to in the sentence “That is simply false”?
12.
What
factor was found to influence how doctors manage their patients’ care in the
Cleveland study?
13.
What
does “it” refer to in the phrase “as well as it should”?
14.
Britain’s
pay for performance program is provided as an example to prove that……………………
15.
How
did a Boston hospital manage to cheat the system?
16.
What
are the two major difficulties in discovering ideal performance measures?
17.
The
examples of the day care centers in Israel and students solving puzzles both
seem to show that ………………………………………………………………………………………………………………………………
18.
What
does “This” refer to in the phrase “This can certainly change medicine” Be very
careful!
WRITING TASK
Use the
notes you made while reading to write an argumentative essay on the subject. In
your introduction briefly describe the previous system and the new one. Then
state clearly which is better. In your development, use the arguments in the
text to support your own view and refute the counter arguments. In your
conclusion, write a restatement. You will find an example under Sample
Essays
SHOULD PHYSICIAN PAY BE TIED TO PERFORMANCE?
KEY AND TEACHER’S NOTES
This straightforward text is a God send for any
student who needs practice with argumentative essays and any teacher who needs
to teach the same. It follows all the rules in the book with one exception:
there is no conclusion as it is a report. It is suggested that the students are
encouraged to make a note of the arguments for and against while reading and
then use these notes to write their essays. An example is in the file marked
Sample Essays.
1.
Paying
them for every service they perform
2.
Patient
satisfaction surveys; how well physicians comply with procedures for patient
care
3.
Bad
incentives
4.
Game
the system
5.
In
providing preventive care
6.
Avoidable
Complications
7.
How
well they beat benchmarks for delivering chronic care
8.
There
being no extra payment if a patient is readmitted following a surgical
procedure
9.
Let
doctors set the benchmarks they needed to reach to get bonuses and they were
far too low. The next sentence is not the answer because it gives the result of
the experiment!
10.
Not
letting providers set benchmarks and removing incentives for doctors to game
the system.
11.
Not
being able to come up with adequate measures to judge physician performance; OR
the fact that you can’t come up with adequate measures…
12.
Being
on Medicade
13.
Pay
for performance
14.
There
is no evidence that financial incentives can improve patient outcomes
15.
By
changing the words they wrote on patients’ charts
16.
Measures
that work for one group of doctors are
unlikely to work for all providers; many providers interact in providing care
and influence each other’s and patients’ outcomes
17. Financial incentives often crowd out intrinsic motivation
17. Financial incentives often crowd out intrinsic motivation
18. Manipulating
greed. The trick is to pick out what you think the reference is and stick it in
the sentence. When you do this, you will see that only this will work
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