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Purpose

– The purpose of this “viewpoint” is to consider the unintended consequences of variable pay and incentive schemes in healthcare environments.

Design/methodology/approach

– Reviews a series of side effects of incentives.

Findings

– The paper suggests that pay-for-performance schemes should be avoided.

Originality/value

– The area of public sector boards is undergoing considerable change in the UK and this paper, although preliminary, is one of the few to examine the links to motivation.

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