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A majority of healthcare providers feel the use of metrics and financial penalties linked with patient outcomes has a negative impact on quality of care, according to a new report.

As many as 50% of primary care physicians, 40% of nurse practitioners, and 38% of physician assistants had a negative view when measuring provider performance, according to findings included in a new brief from the Commonwealth Fund and the Kaiser Family Foundation.

The perception of quality metrics did not improve much even among those providers who are being paid based on the quality of care. Only 28% of physicians receiving incentive payments felt the increased use of metrics to evaluate performance influenced their ability to provide quality care, compared with 17% of doctors not receiving incentive payments.

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