Financial incentives. our own motivations?
Financial security is indeed important. Once that is obtained, then
self motivation and vocation should play a large part in performance.
Do financial incentives take away such vocational focus, and in the
long term are they counter productive. maybe it sepends...
The glycaemic control arm would argue for Doctors being
clinically/vocationally motivated (was improving prior to incentives), the
screening data against (dropped after incentives removed).
Perhaps we are more vocationally enthused (or convinced?) by
glycaemic control than screening. Maybe it’s the administrative issues
behind screening that are the differance, wheras HbA1c control is more in
the hands of the physician (more ownership).
Until we know more about our motivations, such studies are too full
of confounders to be used to produce policy, though doubtless governments
will indeed use them for this.
Competing interests: No competing interests