Doctor Behaviour under a Pay for Performance Contract: Treating, Cheating and Case Finding?
研究了英国初级医疗按绩效付费计划下，医生通过调整报告患病率和例外报告率来操纵绩效指标的行为。
The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported disease rates between providers, and differences in exception rates both between and within providers, suggest gaming. Faced with ratio performance indicators, providers acted on denominators as well as numerators. © The Author(s). Journal compilation © Royal Economic Society 2010.