Skip to main content
Kent Academic Repository

Pay for performance schemes in primary care: what have we learnt?

Peckham, Stephen and Wallace, Andrew (2010) Pay for performance schemes in primary care: what have we learnt? In: Gillam, S. and Siriwardena, N., eds. The Quality and Outcomes Framework: QOF - Transforming General Practice. Radcliffe Medical Press, pp. 137-146. ISBN 978-1-84619-456-6. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:41557)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.

Abstract

Pay-for-performance (P4P) schemes have become increasingly popular withcommissioners of primary care and other health services and this has generatedquestions about their effect on improving quality. In this chapter, we draw on relevantliterature and primary research to reflect on how the Quality and OutcomesFramework has impacted on general practice in the United Kingdom, while reflectingupon the relationship between P4P schemes and quality improvement moregenerally. We argue that, although evidence for the effect of P4P on quality is limited,P4P schemes do have an effect on the behaviour of physicians and can leadto better clinical management of disease, but that there is cause for concern abouttheir impact on the wider aspects of quality of care. We conclude that P4P schemesneed to take more account of broader definitions of quality since, while schemescan have a positive impact on incentivised clinical processes, it is not clear that thistranslates into improving the experience and outcome of care for patients.

Item Type: Book section
Subjects: H Social Sciences > HJ Public Finance
R Medicine > R Medicine (General) > R729 Types of medical practice > R729.5.G4 General practice
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 27 Jun 2014 11:34 UTC
Last Modified: 16 Nov 2021 10:16 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/41557 (The current URI for this page, for reference purposes)

University of Kent Author Information

  • Depositors only (login required):

Total unique views for this document in KAR since July 2020. For more details click on the image.