Just stick to the facts: Remember Goodhart's law

摘要

Accusations that GPs are responsible for increased accident and emergency (A&E) attendances and slow cancer referrals prompted me to look back to an article that I co-wrote in 1995 outlining the lack of evidence for policies that affect daily practice.1 In 2008 lona Heath2 described similar issues, stimulating comparisons with Goodhart's law, 'when a measure becomes a target it fails to be a good measure'. The 1990 contract was imposed using free market principles. Academics with a dream of sustained perfect health colluded with government free-market ideology. Health became a commodity. Your GP would satisfy your greed for health.