Tools
Tools
Khadjesari, Zarnie 
ORCID: https://orcid.org/0000-0002-2958-9555, Hardoon, Sarah L., Petersen, Irene, Hamilton, Fiona L. and Nazareth, Irwin
(2017)
Impact of financial incentives on alcohol consumption recording in primary health care among adults with schizophrenia and other psychoses: A cross-sectional and retrospective cohort study.
Alcohol and Alcoholism, 52 (2).
pp. 197-205.
ISSN 0735-0414
Preview |
PDF (Accepted manuscript)
- Accepted Version
Download (412kB) | Preview |
Abstract
Aims: Lack of financial incentive is a frequently cited barrier to alcohol screening in primary care. The Quality and Outcomes Framework (QOF) pay for performance scheme has reimbursed UK primary care practices for alcohol screening in people with schizophrenia since April 2011. This study aimed to determine the impact of financial incentives on alcohol screening by comparing rates of alcohol recording in people with versus those without schizophrenia between 2000 and 2013. Methods: Cross-sectional and retrospective cohort study. Alcohol data were extracted from The Health Improvement Network (THIN) database of UK primary care records using (a) Read Codes for level of alcohol consumption, (b) continuous measures of drinking (e.g. units a week) and (c) Read Codes for types of screening test. Results: A total of 14,860 individuals (54% (8068) men and 46% (6792) women) from 409 general practices aged 18–99 years with schizophrenia were identified during April 2011–March 2013. Of these, 11,585 (78%) had an alcohol record, of which 99% (8150/8257) of Read Codes for level of consumption were eligible for recompense in the QOF. There was an 839% increase in alcohol recording among people with schizophrenia over the 13-year period (rate ratio per annum increase 1.19 (95% CI 1.18–1.20)) compared with a 62% increase among people without a severe mental illness (rate ratio per annum increase 1.04 (95% CI 1.03–1.05)). Conclusion: Financial incentives offered by the QOF appear to have a substantial impact on alcohol screening among people with schizophrenia in UK primary care. Short summary: Alcohol screening among people with schizophrenia increased dramatically in primary health care following the introduction of the UK pay for performance incentive scheme (Quality and Outcomes Framework) for severe mental illness, with an 839% rise (>8-fold increase) compared with a 62% increase among people without a over the 13-year study period (2000–2013).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Related URLs: | |
| Depositing User: | Pure Connector |
| Date Deposited: | 10 Apr 2018 09:37 |
| Last Modified: | 04 Mar 2024 17:41 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/66725 |
| DOI: | 10.1093/alcalc/agw076 |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |