Tools
Tools
Steel, Nicholas 
ORCID: https://orcid.org/0000-0003-1528-140X, Maisey, Susan, Clark, Allan ORCID: https://orcid.org/0000-0003-2965-8941, Fleetcroft, Robert and Howe, Amanda
(2007)
Quality of clinical primary care and targeted incentive payments: an observational study.
British Journal of General Practice, 57 (539).
pp. 449-454.
ISSN 1478-5242
Abstract
Background: Payments for recorded evidence of quality of clinical care in UK general practices were introduced in 2004. Aim: To examine the relationship between changes in recorded quality of care for four common chronic conditions from, 2003 to 2005, and the payment of incentives. Design of study: Retrospective observational study comparing incentivised and non-incentivised indicators of quality of care. Setting: Eighteen general practices in England. Method: Medical records were examined for 1156 patients. The percentage of eligible quality indicators achieved for each patient was assessed in 2003 and 2005. Twenty-one quality indicators referred to asthma and hypertension: six subject to and 15 not subject to incentive payments. Another 15 indicators referred to depression and osteoarthritis which were not subject to incentive payments. Results: A significant increase occurred for the six indicators linked to incentive payments: from 75% achieved in 2003 to 91% in 2005 (change = 16%, 95% confidence interval [CI] = 10 to 22%, P<0.01). A significant increase also occurred for 15 other indicators linked to ‘incentivised conditions’; 53 to 64% (change = 11%, 95% CI = 6 to 15%, P<0.01). The ‘non-incentivised conditions’ started at a lower achievement level, and did not increase significantly: 35 to 36% (change = 2%, 95% CI = −1 to 4%, P = 0.19). Conclusion: The introduction of financial incentives was associated with substantial apparent quality improvement for incentivised conditions. For non-incentivised conditions, quality did not appear to improve. Patients with non-incentivised conditions may be at risk of poorer quality care.
| Item Type: | Article |
|---|---|
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | EPrints Services |
| Date Deposited: | 25 Nov 2010 11:11 |
| Last Modified: | 19 Oct 2023 00:49 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/13776 |
| DOI: |
Actions (login required)
 |
View Item |