Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework: a systematic review

Stephen J Gillam, A Niroshan Siriwardena, Nicholas Steel

Research output: Contribution to journalArticlepeer-review

231 Citations (Scopus)


Primary care practices in the United Kingdom have received substantial financial rewards for achieving standards set out in the Quality and Outcomes Framework since April 2004. This article reviews the growing evidence for the impact of the framework on the quality of primary medical care.
Original languageEnglish
Pages (from-to)461-468
Number of pages8
JournalAnnals of Family Medicine
Issue number5
Publication statusPublished - Sep 2012


  • Quality Improvement
  • Patient Satisfaction
  • Patient Care Team
  • Quality of Health Care
  • Humans
  • Cost-Benefit Analysis
  • Reimbursement, Incentive
  • Primary Health Care
  • Healthcare Disparities
  • Great Britain

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