Letters Payment by results

Has payment by results affected how care is recorded?

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b3858 (Published 22 September 2009) Cite this as: BMJ 2009;339:b3858
  1. John P Watson, consultant physician1
  1. 1St James’s University Hospital, Leeds LS9 7TF
  1. john.watson{at}leedsth.nhs.uk

    Payment by results has changed the recorded inpatient activity of hospitals,1 but whether this represents a genuine change in activity or a change in the way activity is recorded is not clear. Take as an example upper gastrointestinal endoscopy—a common procedure performed on patients who are …

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