“…In general (regardless of country) scholars regularly pointed towards the three counts on which PQR schemes are held accountable on: improved quality of care (Marshall & McLoughlin, 2010;Colmers, 2007;Vrangbaek et al, 2012;Kroneman, Maarse, & Van der Zee, 2006;Fung et al, 2008), higher cost efficiency (Ikkersheim & Koolman, 2012;Vrangbaek et al, 2012;Dixon, Robertson & Bal, 2010;Rademakers et al, 2014;Robertson & Burge, 2011) and empowerment of patients (Magee, Davis & Coulter, 2003;Fasolo et al, 2010;Victoor et al, 2012). Although positive side-effects of PQR systems have been discussed, too little attention was given to the empowerment of patients.…”