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Incentives paid to GPs to improve healthcare have no effect on mortality, study finds

BMJ 2016; 353 doi: http://dx.doi.org/10.1136/bmj.i2882 (Published 19 May 2016) Cite this as: BMJ 2016;353:i2882
  1. Helen Mooney
  1. London

The UK Quality and Outcomes Framework (QOF), the world’s largest system of payment for performance in primary care, has failed to improve death rates, show the results of a study published in the Lancet.1

The study, carried out by York and Manchester Universities and the University of Michigan in the Unites States, showed no statistically significant declines in mortality associated with the chronic conditions targeted by the programme, which include cancer, diabetes, and heart disease.

In 2004 the Labour government introduced QOF across general practices in the United …

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