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Effects of Pay for Performance on the Quality of Primary Care in England
New England Journal of Medicine, 07/23/09

Campbell SM et al. – Against a background of increases in the quality of care before the pay–for–performance scheme was introduced, the scheme accelerated improvements in quality for two of three chronic conditions in the short term. However, once targets were reached, the improvement in the quality of care for patients with these conditions slowed, and the quality of care declined for two conditions that had not been linked to incentives. Continuity of care was reduced after the introduction of the scheme.

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