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High densities of health care suppliers result - at least in their combination with fee-for-service remuneration, target incomes, and contracting obligation for insurers - in more intense utilization per capita of most groups of health care services and in greater drug consumption [ 28].
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"They're not disclosing that they have received financial remuneration to promote and target products, and that is inherently deceptive".
This has implications for the use of target-based remuneration of GPs and other doctors, because it suggests that the assumptions about process-outcome links underpinning such schemes may be flawed.
This suggests that strengthening links between policy and practice may facilitate the integration of telecare and increase participation--perhaps through changing the structure of GP remuneration and the key targets of the Quality Outcomes Framework.
These results have implications for the use of target-based remuneration of general practitioners and emphasise the need to tackle inequalities and improve the health of disadvantaged groups and the population as a whole.
Tax deductibility for debt should also be removed, as far as banks are concerned, voting rights extended to suppliers of debt finance and the return on equity target for executive remuneration replaced by return on all capital.
They'll be hit in the pocket, Darling pledges, pointing out the banks' remuneration committee must take these targets into account.
Robert Talbut, the chief investment officer of Royal London Asset Management, which holds just under 1% of AstraZeneca, said: "It is only fair and reasonable that if the management are so confident that they will be able to hit their targets that their remuneration should be linked to that".
The existence of upper achievement thresholds and the provision for practices to exception report patients means that maximum points can be scored (and maximum remuneration secured) without achieving the targets for all patients.
This target-setting goes right through the banking hierarchy – and the fact that senior executives' own remuneration depends on similar short-term targets, rather than providing customers with products they want and service they value, makes a dramatic change in culture unlikely.
If he hits his performance targets, under his new remuneration deal Sorrell's bonus will drop from 250% of salary to 217.5% – a 22% fall proportionally.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com