Influence of financial and reputational incentives on primary care performance: a longitudinal study

Abstract

Background: The Quality and Outcomes Framework has generated reputational as well as financial rewards for general practices because the number of quality points a practice receives is publicly reported. These rewards vary across diseases and practices, and over time. Aim: To determine the relative effects on performance of the financial and reputational rewards resulting from a pay-for-performance programme. Design and setting: Observational study of the published performance on 42 indicators of 8929 practices in England between 2004 and 2013. Method: The authors calculated the revenue offered (financial reward, measured in £100s) and the points offered (reputational reward) per addition..