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The Hong Kong Hospital Authority (HA) introduced a Pay-for-Performance (P4P) resource- allocation policy using a Casemix system in late 2008. Clinicians played a vital role in its implementation, especially with regard to the accuracy of clinical data. The purpose of this study was to:  1. Assess the short-term impact of Casemix-based funding as perceived by clinicians on clinical practice and quality of patient care after one year of implementation.  2. Examine any association between the characteristics of the clinicians (rank and specialty) and their perceived impact of the Casemix system on clinical service.  3. Identify the barriers encountered by clinicians on the effective implementation of this new policy.

Perceptions of the Casemix system by clinicians after the first year of implementation in Hong Kong: a survey