Letters
Payment by results
Market failure
BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b3859 (Published 22 September 2009) Cite this as: BMJ 2009;339:b3859
- Rudiger Pittrof, consultant in integrated sexual health and HIV1
- 1Enfield Community Services, Enfield EN1 1NJ
- Rudiger.Pittrof{at}enfield.nhs.uk
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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