OPEN The New England journal of medicine | 9 Nov 2012
M Sutton, S Nikolova, R Boaden, H Lester, R McDonald and M Roland
Pay-for-performance programs are being adopted internationally despite little evidence that they improve patient outcomes. In 2008, a program called Advancing Quality, based on the Hospital Quality Incentive Demonstration in the United States, was introduced in all National Health Service (NHS) hospitals in the northwest region of England (population, 6.8 million).
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