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May 12, 2015

Redesigning Metrics to Integrate Professionalism Into the Governance of Health Care

Author Affiliations
  • 1University of Utah, Salt Lake City

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2015;313(18):1815-1816. doi:10.1001/jama.2015.4062

Professionalism in health care encapsulates the critical elements of value that are at risk of marginalization when health care reform is governed by economics. The successful transformation of health care depends on maintaining the primacy of patient interests, high standards of competence and integrity, and the professional provision of expert guidance to society on health matters.1 The centrality of patients and the patient-physician relationship in defining outcomes and value is particularly important as payment reform accelerates with more aggressive financial penalties and rewards.2 To achieve their intended goals, the new value-based pay-for-performance metrics must be defined carefully, for both clinicians and patients. Quality and cost metrics informed by the principles of professionalism are essential to developing better definitions of value and to leading more successful value-driven transformation.