This article presents a review and critique of Brazil's national Pay-For-Performance (P4P) program for primary health care, with a focus on its key design features and a comparison to England's Quality and Outcome Framework (QOF). The program in Brazil is designed to enhance the quality of care and promote improved outcomes in healthcare delivery. By examining this program and drawing comparisons to the QOF in England, valuable lessons can be learned to refine and implement P4P initiatives not only in Brazil but also in other countries.
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Journal of General Practice received 952 citations as per Google Scholar report
