Reduction in prescribing cannot confidently be attributed to scheme

doi:10.1136/bmj.313.7070.1484

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Elizabeth Robinson,
Ian Harvey

Medical adviser Avon Health Authority, Bristol BS2 BEE
Consultant senior lecturer in public health medicine Department of Social Medicine, Bristol BS8 2PR

EDITOR,—D N Bateman and colleagues set out to examine the effects of a financial incentive scheme on prescribing among non-fundholding general practitioners. We are not convinced, however, that they have shown that these general practitioners responded to such incentives in a manner similar to that of fundholding practices, as the authors claim.

Firstly, from a purely …