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The effect of financial incentives on the quality of health care provided by primary care physicians.

著者 Scott A , Sivey P , Ait Ouakrim D , Willenberg L , Naccarella L , Furler J , Young D
Cochrane Database Syst Rev.2011 ; 9():CD008451.
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Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, Level 7, Alan Gilbert Building, Barry Street, Carlton, Melbourne, VIC, Australia, 3053.

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The use of blended payment schemes in primary care, including the use of financial incentives to directly reward 'performance' and 'quality' is increasing in a number of countries. There are many examples in the US, and the Quality and Outcomes Framework (QoF) for general practitioners (GPs) in the UK is an example of a major system-wide reform. Despite the popularity of these schemes, there is currently little rigorous evidence of their success in improving the quality of primary health care, or of whether such an approach is cost-effective relative to other ways to improve the quality of care.
PMID: 21901722 [PubMed - in process]
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