Implementing pay-for-performance in Australian primary care: lessons from the United Kingdom and the United States

Mark A J Morgan and James Dunbar
Med J Aust 2011; 194 (4): . || doi: 10.5694/j.1326-5377.2011.tb03791.x
Published online: 21 February 2011

To the Editor: In their paper, Campbell and colleagues list the potential pitfalls of introducing pay-for-performance into Australian primary care.1 They emphasise that, in Australia, the electronic medical records used in general practice would not support the introduction of a scheme such as the Quality and Outcomes Framework (QOF) that is in place in the United Kingdom. In 2009, we demonstrated that it was quite possible to apply a QOF in a large Australian general practice by adapting the in-built search facility of a commonly used medical records program.2 We concluded that the introduction of a QOF in Australia would drive up the quality of our care.

  • Mark A J Morgan
  • James Dunbar

  • Greater Green Triangle University Department of Rural Health, Flinders University and Deakin University, Warrnambool, VIC.


Competing interests:

Mark Morgan received a Primary Health Care Research, Evaluation and Development bursary and funding from Medibank Private. James Dunbar received funding from the Australian Primary Health Care Research Institute.


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