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Performance related pay doesn’t improve quality of primary care, US study finds

BMJ 2008; 337 doi: https://doi.org/10.1136/bmj.a1160 (Published 05 August 2008) Cite this as: BMJ 2008;337:a1160
  1. Janice Hopkins Tanne
  1. 1New York

    Performance related pay for doctors in primary care does not result in better quality of care for patients, a large Massachusetts study has concluded. Reward schemes in commercial health plans in the United States may be too low to make a difference to physicians’ performance, the researchers said.

    The study, which involved about 5000 primary care doctors and nearly four million patients, found that the performance of most doctors improved on all measures of clinical quality whether or not they had incentives (Health Affairs 2008;27:1167-76).

    Performance related pay (called “pay for performance” (P4P) in the US) has been widely introduced as a way …

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