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Pay for performance systems in general practice: experience in the United Kingdom

Mark Ashworth and Roger H Jones
Med J Aust 2008; 189 (2): 60-61.
Published online: 21 July 2008

P4P has raised the quality of primary care in the UK, but broader performance indicators are needed to accurately reflect the scope of general practice

Pay for performance, or “P4P” as it is often known, is now centre-stage in primary care in the United Kingdom. P4P promotes change in clinical behaviour by offering financial rewards in return for achieving certain predefined targets. Both sides of the P4P “equation” are currently the subject of much debate: how generous should the financial reward be (the first “P”); and which performance indicators (the second “P”) should be used as the basis for calculating eligibility for the reward?

  • Mark Ashworth1
  • Roger H Jones2

  • Department of General Practice and Primary Care, Division of Health and Social Care Research, King’s College London, London, UK.


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