Improving pay and working conditions is better than merely rewarding healthcare teams

BMJ 1998;317:602 ( 29 August )

Letters

Improving pay and working conditions is better than merely rewarding healthcare teams

The first 150 words of the full text of this article appear below.

EDITOR $---$ I read with admiration, interest, amusement, and some sadness the editorial on rewarding healthcare teams by Bloorand Maynard.¹ My admiration is for Maynard's persistence. Hehas for many years advocated the replacement of doctors by otherhealthcare professionals and the abolition of distinction awards.He manages to mount a range of interesting alternative methodsto justify this. The only thing that he forgot to introduce inthis editorial was his recent (and equally damaging and superficial)suggestion that not only should we replace doctors with nursepractitioners but that we should make up for any remaining shortageof doctors by using other countries' unemployed or rejecteddoctors.

The present thesis is important. How can we reward healthcare teams? Yesterday's solutions of competitive tendering by healthcareteams are mounted. Many of the changes suggested are already inplace. Many of us in chronic disease management and primary care. . . [Full text of this article]

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Rewarding healthcare teams: Karen Bloor and Alan Maynard
BMJ 1998 316: 569-570. [Extract] [Full Text]

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