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[Comment] Does pay-for-performance in primary care save lives?

People around the world are living longer and a striking and sustained increase in life expectancy has occurred in high-income countries in the past 30 years. A key question for researchers and policy makers is how much of the improvement in mortality and active years of life is due to medical care, and how much to factors such as improved lifestyle and reduced smoking. For coronary heart disease, commonly quoted figures are that around half of the reduction in mortality could be due to improvements in medical care.