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Qual Saf Health Care 2005;14:227
  • Letter

Financial incentives and quality improvement

  1. A Rashidian1,
  2. N Black1,
  3. I Russell2
  1. 1Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
  2. 2University of Wales Bangor, Bangor LL57 2UW, UK
  1. Correspondence to:
 Dr A Rashidian
 Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK; arash.rashidianlshtm.ac.uk

    We share Marshall and Harrison’s caution on over-reliance on financial incentives for improving quality of care manifested in the new UK general practice contract.1 Financial incentives do not always result in behaviour change as intended for reasons that are not well understood. We argue that “the fascination with financial incentives” is not “based on sound empirical evidence”.

    In recent years at least three systematic reviews on the impact of financial incentives on provider behaviour have been published.2– …

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