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Volume 355:1832-1833 October 26, 2006 Number 17
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Pay-for-Performance Programs in the United Kingdom

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by Epstein, A. M.
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by Doran, T.
-PubMed Citation
To the Editor: As a general practitioner in England, I and the practice in which I work were directly affected by the changes made in 2004 by the introduction by the National Health Service of a pay-for-performance contract for family practitioners, as reported by Doran and colleagues (July 27 issue).1 The contract was evidence based, ensuring that the majority of general practitioners approved of its aims.

Doran and colleagues omitted a number of important lessons that can be drawn from that experience. First, the necessity to "tick boxes" to ensure that tasks triggering payment were completed had a major effect . . . [Full Text of this Article]



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