Half of US primary care physicians say the increased use of quality metrics is having a negative effect on quality, according to a new survey from The Commonwealth Fund and the Kaiser Family Foundation. Only 22% say that the use of quality metrics are having a positive impact on quality.

The Annual National Survey of Primary Care providers included a nationally representative sample of 1,624 primary care physicians supplemented by 525 nurse practitioners and physician assistants.

Other key findings include:

  • More than half (52%) say hospital readmission penalties are negatively affecting quality care; only 12% say such efforts are having a positive effect.

  • Most physicians are unsure of the effect of the growth of ACOs on quality care; 26% see ACOs as negatively affecting quality, with 14% saying that there has been a positive effect.

  • Two-thirds of physician assistants and nurses (64%) say increased use of information technology is positively affecting quality; half (50%) of physicians agree.

  • More than half (54%) of physicians surveyed are receiving financial incentives based on quality or efficiency measures.

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