Article Text

The problem with pay-for-performance schemes
  1. Suhas Gondi1,
  2. Derek Soled1,
  3. Ashish Jha2,3
  1. 1Harvard Medical School, Boston, Massachusetts, USA
  2. 2Health Policy and Management, Harvard Medical School, Boston, Massachusetts, USA
  3. 3Health Policy and Management, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA
  1. Correspondence to Dr Ashish Jha, Health Policy and Management, Harvard Medical School, Boston, MA 02115, USA; ajha{at}


‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive problems that seem to resist solution.

  • pay for performance
  • social sciences
  • healthcare quality improvement

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  • SG and DS contributed equally.

  • Contributors DS and SG contributed equally to this paper. They are co-first authors who conceptualised the idea and drafted the initial manuscript. AJ helped conceptualise the idea as well as reviewed and revised the manuscript.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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