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Volume 357:181-190 July 12, 2007 Number 2
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Quality of Primary Care in England with the Introduction of Pay for Performance
Stephen Campbell, Ph.D., David Reeves, Ph.D., Evangelos Kontopantelis, Ph.D., Elizabeth Middleton, M.Sc., Bonnie Sibbald, Ph.D., and Martin Roland, D.M.

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In 2004, the United Kingdom committed £1.8 billion ($3.2 billion) to a new pay-for-performance contract for family practitioners.1 During the first year, the levels of achievement exceeded those anticipated by the government, with an average of 83.4% of the available incentive payments claimed.2 However, the quality of care in English family practices had already begun to improve in response to a wide range of initiatives,3,4,5,6 including national standards for the treatment of major chronic diseases and a national system of inspection (Table 1). Family practitioners already had some experience with financial incentives from the limited use of incentive . . . [Full Text of this Article]

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From the National Primary Care Research and Development Centre, University of Manchester, Manchester, United Kingdom.

Address reprint requests to Dr. Campbell at the National Primary Care Research and Development Centre, University of Manchester, Oxford Rd., Manchester M13 9PL, United Kingdom.


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