Effects of pay for performance on the quality of primary care in England.

@article{Campbell2009EffectsOP,
  title={Effects of pay for performance on the quality of primary care in England.},
  author={Stephen M Campbell and David Reeves and Evangelos Kontopantelis and Bonnie Sibbald and Martin Roland},
  journal={The New England journal of medicine},
  year={2009},
  volume={361 4},
  pages={
          368-78
        }
}
BACKGROUND A pay-for-performance scheme based on meeting targets for the quality of clinical care was introduced to family practice in England in 2004. METHODS We conducted an interrupted time-series analysis of the quality of care in 42 representative family practices, with data collected at two time points before implementation of the scheme (1998 and 2003) and at two time points after implementation (2005 and 2007). At each time point, data on the care of patients with asthma, diabetes, or… Expand

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References

SHOWING 1-10 OF 20 REFERENCES
Improvements in quality of clinical care in English general practice 1998-2003: longitudinal observational study
TLDR
Substantial improvements were seen in quality of care for the three conditions studied between 1998 and 2003, a time of systematic quality improvement initiatives in the NHS. Expand
Early experience with pay-for-performance: from concept to practice.
TLDR
Paying clinicians to reach a common, fixed performance target may produce little gain in quality for the money spent and will largely reward those with higher performance at baseline. Expand
Effect of financial incentives on inequalities in the delivery of primary clinical care in England: analysis of clinical activity indicators for the quality and outcomes framework
TLDR
The results suggest that financial incentive schemes have the potential to make a substantial contribution to the reduction of inequalities in the delivery of clinical care related to area deprivation. Expand
Public reporting and pay for performance in hospital quality improvement.
TLDR
Hospitals engaged in both public reporting and pay for performance achieved modestly greater improvements in quality than did hospitals engaged only in public reporting. Expand
Identifying predictors of high quality care in English general practice: observational study
TLDR
Good teamworking is a key part of providing high quality care across a range of areas and may need specific support if quality of care is to be improved and additional support is needed to provide preventive care to deprived populations. Expand
Linking physicians' pay to the quality of care--a major experiment in the United kingdom.
  • M. Roland
  • Medicine
  • The New England journal of medicine
  • 2004
TLDR
A major pay-for-performance program that is being implemented in the United Kingdom where family practitioners can earn up to 1050 quality bonus points for performing well on a complex set of indicators that measure the quality of clinical care. Expand
Quality of primary care in England with the introduction of pay for performance.
TLDR
The authors examine longitudinal data on quality and report that the incentive program may have prompted a modest improvement in the quality of care for two of the three chronic conditions they studied. Expand
Pay for Performance in Primary Care in England and California: Comparison of Unintended Consequences
TLDR
The study findings suggest that unintended consequences of incentive programs relate to the way in which these programs are designed and implemented, and although unintended, these consequences are not necessarily unpredictable. Expand
The Quality and Outcomes Framework: what have you done to yourselves?
  • D. Mangin, L. Toop
  • Medicine
  • The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2007
TLDR
Six years ago concerns that the content of the consultations was at risk of being taken over by the agendas of well-meaning single disease interest groups, and that there were potential opportunity costs of this change were raised were raised. Expand
Quality assessment for three common conditions in primary care: validity and reliability of review criteria developed by expert panels for angina, asthma and type 2 diabetes
TLDR
Quality measures derived using expert panels need field testing before they can be considered valid, reliable, and acceptable for use in quality assessment as additional evidence that the RAND panel method develops valid and reliable review criteria for assessing clinical quality of care. Expand
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