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Healthc Pap. 2006;6(4):8-26.

Pay-for-performance in publicly financed healthcare: some international experience and considerations for Canada.

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  • 1Department of Health Policy and Administration, University of North Carolina at Chapel Hill, USA.


Recent reports in the United States and Canada provide evidence that healthcare systems routinely fail to deliver safe and high-quality healthcare services. Governments and other healthcare payers have begun to experiment with pay-for-performance programs that offer healthcare providers and organizations financial incentives for quality. The purpose of this paper is (1) to provide an overview of the design of major pay-for-performance programs in the United States, the United Kingdom, and Australia, with specific focus on government-sponsored programs, and (2) to articulate some considerations for potential implementation of pay-for-performance in Canada.

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