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Wharam JF, Frank MB, Rosland AM, Paasche-Orlow MK, Farber NJ, Sinsky C, Rucker L, Rask KJ, Barry MJ, Figaro MK. "Pay-for-performance" as a quality improvement tool: perceptions and policy recommendations of physicians and program leaders. Quality management in health care. 2011 Jul 1; 20(3):234-45.
Internists favored gradual P4P implementation, while P4P leaders saw an immediate need for implementation with iterative improvement. Both groups recommended specific measures to protect vulnerable populations such as improving measure validity, assessing improvements in quality, and providing special incentives to physicians of vulnerable populations.