Agree: yes, that might be the case when the overall performance of the chain is not aligned with the incentives that professionals consider relevant. Example that was provided: the overall care outcome of a medical chain (e.g., to increase the number of survivals it’s needed that a specific treatment (e.g.. surgery) is only done by a limited number of professionals in a few hospitals versus the production level of a professional (payment per treatment/surgery) or the personal benefits (e.g. status to perform a specific surgery)