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Doctor Behaviour under a Pay for Performance Contract

Treating, Cheating and Case Finding

Dados Bibliográficos

ID9707779
AutoresH Gravelle (0000-0002-7753-4233, University of York), Madeline Sutton (0000-0002-6635-2127, University of Manchester), Matt Sutton (University of Manchester), Ada Ma (0000-0002-2117-2616, University of Aberdeen)
Ano2010
Volume120
Fascículo542
PáginasF129-F156
Data de publicação2010-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoThe Economic Journal (JOURNAL)
Identificadores do periódicoISSN: 0013-0133 • E-ISSN: 1468-0297
EditoraOxford University Press (OUP) (PUBLISHER)
DOI10.1111/j.1468-0297.2009.02340.x
OpenAlexW2056230710
IdiomaEN
Citações recebidas18
Referências citadas23

The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported disease rates between providers, and differences in exception rates both between and within providers, suggest gaming. Faced with ratio performance indicators, providers acted on denominators as well as numerators. Copyright © The Author(s). Journal compilation © Royal Economic Society 2010

Cheating · Economics · Management · Sociology · Healthcare cost, quality, practices · Healthcare Policy and Management · Law, Economics, and Judicial Systems · Psychology · Social Psychology

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  • Introduction

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  • How do clinical quality and patient satisfaction vary with provider size in primary care? Evidence from English general practice panel data

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Obras citantes distintas18
Citações por ano1,38
Intervalo de citações2013 - 2023 (11)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 18
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