Intended for healthcare professionals

Letters Payment by results

Market failure

BMJ 2009; 339 doi: (Published 22 September 2009) Cite this as: BMJ 2009;339:b3859
  1. Rudiger Pittrof, consultant in integrated sexual health and HIV1
  1. 1Enfield Community Services, Enfield EN1 1NJ
  1. Rudiger.Pittrof{at}

    Payment by results was intended to enable commissioners and providers to focus and compete on quality rather than costs. Farrar and colleagues showed that quality (as measured) did not change. …

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