Obstetrician Brian Peat believes salaried doctors are favourably placed to provide best-practice care
That any sane nation, having observed that you could provide for the supply of bread by giving bakers a pecuniary interest in baking for you, should go on to give a surgeon a pecuniary interest in cutting off your leg, is enough to make one despair of political humanity.
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- 1. Shaw GB. The doctor’s dilemma: preface on doctors. London: Penguin, 1987.
- 2. Gosden T, Pedersen L, Torgerson D. How should we pay doctors? A systematic review of salary payments and their effect on doctor behavior. QJM 1999; 92: 47-55.
- 3. Gawande A. The cost conundrum. The New Yorker 2009; 1 Jun. http://gawande.com/articles (accessed Jul 2011).
- 4. Liu X. Policy tools for allocative efficiency of health services. Geneva: World Health Organization, 2003.
- 5. Gawande A. The hot spotters. The New Yorker 2011; 17 Jan. http://gawande.com/articles (accessed Jul 2011).
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