Intended for healthcare professionals

Letters Should GPs be paid to reduce unnecessary referrals?

GPs should not be paid to reduce unnecessary referrals

BMJ 2015; 351 doi: (Published 09 December 2015) Cite this as: BMJ 2015;351:h6593
  1. Martin Roland, professor of health services research1
  1. 1Institute of Public Health, University of Cambridge School of Clinical Medicine, Cambridge CB2 0SR, UK
  1. mr108{at}

Financial incentives work, but not usually as well as those who introduce them hope for.1 Financial incentives can also have perverse or unintended consequences. Both of these are clear from extensive published research.2 So …

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