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Thursday, October 12th 2006

Pay For Performance In The UK

An unintended consequence of the NHS’ Quality & Outcomes Framework program,

Mrs Jones: I can’t sleep since my husband died.

Me: Er….do you smoke? No? [Tick...£££KERCHING£££]

Mrs Jones: I’m so dreadfully lonely. I’ve been having terrible thoughts…..

Me: Yes, yes, ok…now, how many units of alcohol do you drink per week? None? [Tick...£££KERCHING£££]

Mrs Jones: (pressing on) You know, doctor, I mean, like there is nothing to live for….

Will P4P implemented in the US cause doctor’s to miss or ignore serious chief complaints? Hmmm….

H/T Kevin, MD

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