GPs' responses to a new quality-based payment system
Gravelle, H. (University of York) Sutton, M.and Ma, A. (HERU)
The UK National Health Service has introduced an extensive system of payment for performance against 146 quality indicators for its general practitioners. GPs can increase their income by meeting a clinical indicator for more patients, or by varying the number they report as having a relevant condition, or by increasing the number of patients they exception report as ineligible for an indicator. We developed a model of GP behaviour when practices care about income and patient welfare and estimated it using data from 916 Scottish practices in 2004/5 and 2005/6.
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