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P4P in Australia

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Following a high profile scandal relating to quality and safety of care, the health authority in the Australian state of Queensland is introducing a pay for payment (P4P) component into its new hospital prospective payment system.


P4P will include both pay for reporting to collect additional clinical data and payment for adherence to key clinical process makers. This paper describes the model used to choose conditions amenable to use in a P4P system, together with detail of the indicators used for payment.

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Correspondence to Stephen Duckett.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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About this article


  • Public Health
  • Clinical Data
  • Health Authority
  • Payment System
  • High Profile