Letters

Incentive payments may reduce time for clinical care

BMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7325.1369/a (Published 08 December 2001) Cite this as: BMJ 2001;323:1369
  1. Mark Rickenbach, general practitioner (rick@chandlers.prestel.co.uk)
  1. Park Surgery, Chandlers Ford, Hampshire SO53 2ZH

    EDITOR—Incentive payments for primary care are focused on either outcome or process, and the intervention on smoking studied by Coleman et al is an example of an outcome incentive.1 Such incentives change behaviour only if the primary care team believes that they can have an appreciable effect on outcome. Interventions on smoking lead to between 5% and 30% of people stopping smoking, but this depends on each patient being at the stage …

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