Ashworth Mark, Lea Robert, Gray Heather, Gravelle Hugh, Majeed Azeem
Guy's King's & St Thomas' Department of General Practice and Primary Care, King's College London, 5, Lambeth Walk, London SE11 6SP.
Br J Gen Pract. 2003 Jun;53(491):468-70.
Primary Care Groups and Trusts in England (Primary Care Organisations, or PCOs) are required to operate a prescribing incentive scheme. Little is known about their development since their inception in 1999. We surveyed incentive schemes in London and the South-East NHS Regions in the two consecutive years since 1999. Most of the changes to the incentives and prescribing indicators favoured improvements in prescribing quality, rather than cost control. Quality improvements may be hampered in those PCOs offering financial rewards to underspent general practices that fail to achieve any prescribing quality targets.
英国的初级保健团体和信托机构（初级保健组织，即PCO）必须实施一项处方激励计划。自1999年成立以来，人们对其发展情况了解甚少。我们对1999年以来连续两年伦敦和东南部国民保健服务地区的激励计划进行了调查。激励措施和处方指标的大多数变化都有利于处方质量的提高，而非成本控制。在那些向未达到任何处方质量目标但支出未超支的全科诊所提供经济奖励的初级保健组织中，质量改进可能会受到阻碍。
