To be a useful tool for assessing quality of physician care, pay-for-performance must be designed to include process measures and to not penalize physicians for treating patients with difficult-to-manage conditions.
Appropriate use of the pay-for-performance system may improve quality of care by counteracting physician incentives to overtreat in fee-for-service situations or undertreat in capitation plans.
The national physicians' strikes in South Korea in 2000 succeeded in raising public awareness of defects in the Korean medical system and the need to reconcile the government health insurance system and private doctors.