Pay-for-performance programs in family practices in the United Kingdom.

@article{Doran2006PayforperformancePI,
  title={Pay-for-performance programs in family practices in the United Kingdom.},
  author={Tim Doran and Catherine Fullwood and Hugh Gravelle and David Reeves and Evangelos Kontopantelis and Urara Hiroeh and Martin Roland},
  journal={The New England journal of medicine},
  year={2006},
  volume={355 4},
  pages={
          375-84
        }
}
BACKGROUND In 2004, after a series of national initiatives associated with marked improvements in the quality of care, the National Health Service of the United Kingdom introduced a pay-for-performance contract for family practitioners. This contract increases existing income according to performance with respect to 146 quality indicators covering clinical care for 10 chronic diseases, organization of care, and patient experience. METHODS We analyzed data extracted automatically from clinical… 

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References

SHOWING 1-10 OF 28 REFERENCES

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.

The quality of health care delivered to adults in the United States.

TLDR
The deficits the authors have identified in adherence to recommended processes for basic care pose serious threats to the health of the American public and strategies to reduce these deficits in care are warranted.

Linking physicians' pay to the quality of care--a major experiment in the United kingdom.

  • M. Roland
  • Medicine, Economics
    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.

What makes British general practitioners take part in a quality improvement scheme?

TLDR
Good teamworking was essential to successful completion of the project and often improved as a result of taking part, and lessons are drawn for future quality improvement programmes in the National Health Service.

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.

Quality of ambulatory care for women and men in the Veterans Affairs Health Care System.

TLDR
In this large national health care system that predominantly serves men, the quality of ambulatory care is equivalent for women and men on numerous measures.

New paradigms for quality in primary care.

  • B. Starfield
  • Medicine, Political Science
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2001
TLDR
Current approaches to assessing quality of care are based on models developed a half-century ago, but as in all forms of human endeavour, science and society change over time, providing primary care with new challenges.

Brief report: Quality of ambulatory care for women and men in the veterans affairs health care system

TLDR
In this large national health care system that predominantly serves men, the quality of ambulatory care is equivalent for women and men on numerous measures.

Improving the quality of care through clinical governance

TLDR
The UK government has set a challenging agenda for monitoring and improving the quality of health care based on a series of national standards and guidelines, a strategy for quality improvement termed “clinical governance,” and a framework for monitoring thequality of care in and performance of NHS organisations.

Effects of financial incentives on medical practice: results from a systematic review of the literature and methodological issues.

TLDR
All financial incentives that had been proposed, described, or used regardless of their initial objective were identified and, when possible, assessed to assess the results of these incentives on costs, process or outcomes of care.