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Previous Volume 355:406-408 July 27, 2006 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The British sometimes have been characterized as steadfast, measured, tolerant of bus queues and surgical waiting lists, and perhaps even a bit stodgy. Parts of this portrait may be accurate, but the British adoption of pay for performance should dispel the last of these stereotypes forever.

In this issue of the Journal, Doran et al.¹ describe the initial operation and effect of a British policy (adopted in April 2004) that bases a substantial portion of salary payments to general practitioners on their success in meeting 146 criteria for high-quality performance, each of which is tied to a variable number of . . . [Full Text of this Article]

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From the Department of Health Policy and Management, Harvard School of Public Health; the Division of General Medicine (Section on Health Services and Policy Research), Brigham and Woman's Hospital; and Harvard Medical School — all in Boston.

Related Letters:

Pay-for-Performance Programs in the United Kingdom
Sanderson A. A.F., Tahrani A. A., Varughese G. I., Macleod A. F., Epstein A. M.
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N Engl J Med 2006; 355:1832-1833, Oct 26, 2006. Correspondence

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