BMJ Open Quality 2021;10:e001127. doi: 10.1136/bmjoq-2020-001127
- An examination of the evidence behind current incentive schemes available in general practice in the UK found that the majority of research examined QOF. QOF positive effects included reduced mortality rates, better data recording and improved sociodemographic inequalities. However, limitations involved decreased quality of care in non-incentivised activities, poor patient experiences due to tick-box exercises and increased pressure to meet non-specific targets. Findings surrounding competition were mixed, with limited evidence found on the use of non-financial incentives in primary care.
