Linking physicians’ pay to the quality of care--a major experiment in the United Kingdom
Abstract
In this Health Policy Report, the author describes a major pay-for-performance program that is being implemented in the United Kingdom. Additional government payments to family practitioners will be based on the quality of care they deliver. Family practitioners can earn up to 1050 quality bonus points (expected to be worth more than $75,000 in gross income) for performing well on a complex set of indicators that measure the quality of clinical care, organization of the practice, and experience of the patients.
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Suicide is the cause of death that is most elevated in individuals with bipolar disorder and schizophrenia compared with the general population.
“Suicide is the cause of death that is most elevated in individuals with bipolar disorder and schizophrenia compared with the general population.33,34”
From Mortality gap for people with bipolar disorder and schizophrenia: UK-based cohort study 2000–2014 (2017) · cites this paper as [34]
Incentive schemes oriented around paying NHS clinicians or organisations to use a new technology linked to a policy, such as the QOF for chronic disease surveillance, are known as 'pay-for-performance schemes'.
“incentive schemes oriented around paying NHS clinicians or organisations to use a new technology linked to a policy (of which the chief example is the QOF for chronic disease surveillance), for example, are known as 'pay-for-performance schemes', 115”
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- Authors
- Roland, M.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Roland, Martin
- ORCID
- Roland, Martin
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2004-09-30
- Volume
- 351
- Issue
- 14
- Pages
- 1448-1454
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1998707453
- Cited by
- 689
- References
- 19
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 8 · 2023: 20 · 2022: 14 · 2021: 24 · 2020: 17 · 2019: 23 · 2018: 19 · 2017: 26 · 2016: 34 · 2015: 42 · 2014: 32 · 2013: 32 · 2012: 51
- FWCI
- 88.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- performance-based pay, physician remuneration, quality of care, family practitioners, clinical quality indicators, patient experience, primary care organization, UK health policy
- MeSH terms
- Delivery of Health Care, Employee Incentive Plans, United Kingdom, Humans, Medical Records, Organizational Innovation, Organizational Objectives, Patient Education as Topic, Physician-Patient Relations, Physicians, Practice Management, Medical, Quality of Health Care, Salaries and Fringe Benefits, State Medicine, Health Care Surveys, Contracts
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