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This chapter provides an introduction to the complex world of incentives within the healthcare sector. It examines how economic motivations shape behaviors of various stakeholders. It discusses the fundamental role of incentives in driving actions and the potential for unintended consequences when incentives are misaligned. Key points include the influence of incentives on doctors, patients, and healthcare organizations, highlighting examples such as performance management systems that lead to gaming behaviors and ethical dilemmas. This chapter also explores the impact of cultural and ideological factors on healthcare practices and the challenges of quantifying diverse aspects of healthcare outcomes.

“Unplanned city” (and its relation “unchecked growth”) is the way many people describe cities of which they disapprove. They usually mean too little top-down planning, assuming that this is the only planning possible. But Stephen Davies, describing urbanization in England, shows that this was not always so. He notes that,[t]he years between 1740 and 1850 therefore saw an unprecedented amount of urban growth. Cities and towns of all kinds and sizes grew more rapidly and on a greater scale than ever before in history. The rapidly increasing population was drawn into the towns in ever larger numbers with the rise of industry, creating an enormous demand for housing and the urban fabric in general. This was the kind of situation that, when its like happens today, is regularly described in terms of “crisis” or even “catastrophe”. And yet the challenge was largely met. Housing and other facilities were built and provided. The towns of Britain grew to meet the new demands of a growing population and a transformed economy. There were no great shantytowns around growing cities such as Manchester and Birmingham. Instead a tidal wave of brick and stone swept over fields, turning them into new urban areas. Moreover, the period also saw the creation of great architectural achievements of lasting value in both the great cities and the new towns …. The elegance of Bath and Cheltenham, the West End of London and Bloomsbury, the New Town in Edinburgh, and the centers of Glasgow and Newcastle-upon-Tyne – all were built in this period. As this was the first instance of such wide-spread urbanization our understanding of its nature is crucial for our thinking about the process of urbanization in general, whether historically or today. In particular this instance raises the question of how urbanization can happen in the absence of an apparatus of planning and controls, by voluntary means, and what the results of this may be. (Davies, 2002, p. 19)