Navigation Links
GP targets on heart disease should be simpler and based more on treatment and prevention
Date:9/14/2007

GP performance related payments for tackling heart disease are too complex. They should be simplified and based more on disease treatment and prevention and less on risk factor measurement, experts advise in this weeks BMJ.

General practice in the United Kingdom has the largest healthcare pay for performance programme in the world the quality and outcomes framework (QOF). Practices earn points for the services they provide and these points attract financial resources into the practice.

Professor Bruce Guthrie and colleagues discuss the effectiveness of the system in relation to the management of cardiovascular disease and show how practices can earn many points and extra payments without necessarily reducing its risk.

For example, a practice could receive nine points (each worth about 125) for generating a list of patients with high blood pressure. An extra 30 points would be earned if 90% or more of such patients have a record of risk factors (blood pressure and smoking history) in their notes, and 56 more points would be earned if 70% or more of such patients have a record of blood pressure lowered to below specific target values.

Overall, 15% of payments, worth an estimated 200m across the approximate 11,000 general practices in the UK, arise from measuring cardiovascular risk factors (such as blood pressure and cholesterol) and recording whether they are below specified values.

They reason that its time to incorporate treatment information into quality indicators, since it is the treatment of risk factors that reduces risk, not their measurement.

Meeting current targets for cardiovascular disease does not guarantee good management, they warn. Treatment information would clearly identify opportunities for intervention and improved patient care.

These views are supported by Consultant Cardiologist, David Wald, in an accompanying editorial. He believes that the treatment and prevention of c
'/>"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
Source:Eurekalert

0

GOOD

Page: 1 2

Related medicine news :

1. Scios Inc. targets drug giants in arthritis war
2. Research Targets treatment for dementia and brain injuries
3. Cancer Treatments Fall Short Of Targets
4. India Targets Eliminating Leprosy
5. Study Would Pave Way for the Development of New Drugs That Targets TB Proteasome
6. Health Targets To Treat Cancer Patients Unlikely To Be Met
7. "Super Drug" Targets Disease-Causing Gene
8. Queensland Government to Meet its Medical Targets
9. No Clear Evidence for Ultra-Low Cholesterol Targets?
10. Health Minister Stresses the Importance of Realistic Health Targets
11. NIDs Targets Immunizations To 22 Million Children In Bangladesh

Post Your Comments:
*Name:
*Comment:
*Email:
(Date:11/27/2009)...e; announced today that Spectrum Health (Grand Rap...se orthopedic templating solution and its TraumaCa... (PRWEB) November 27, 2009 -- Voyant Health&tr...apids, Michigan) has licensed its TraumaCad Enterp...Cad Extend workflow solution, to allow its orthope...
(Date:11/26/2009)...- With cold and flu season upon us, it,s more impo...l the spread of infections and avoid illness. ,...ves healthy, but to avoid transmitting illness if ...tified in infection-control), nursing director for...ital for Special Surgery (HSS) in Manhattan. ,,...
(Date:11/26/2009)... to strains or worse , , THURSDAY, Nov. ...with stuffing your turkey full to bursting, but yo...itcase as you pack for holiday trips. , More th...ital emergency rooms, doctors, offices, clinics an...uries, such as muscle strains, pulls and tears, ac...
(Date:11/26/2009)...Dental (RTDental), a leading dental group practice...pansion of its services to include LUMINEERS by a ... , Durham, NC (PRWEB) -- ...at Dr. Doug Macmillan, an experienced LUMINEERS ... training seminar. RTDental’s ability to fu...
(Date:11/25/2009)...wswire/ -- The Bartle Hall Convention Center will ...inic on Dec. 9-10, when Kansas City hosts the late...ed people. ,, "This free clinic event has the p...l extend over two days instead of just one and be ... Wood, executive director of the Kansas City Free ...
Breaking Medicine News(10 mins):Health News:Voyant Health Announces: Spectrum Health Licenses TraumaCad Enterprise and TraumaCad Extend 2Health News:Voyant Health Announces: Spectrum Health Licenses TraumaCad Enterprise and TraumaCad Extend 3Health News:Infection-Control Strategies at Leading Hospital Can be Adapted for Everyday Use 2Health News:Infection-Control Strategies at Leading Hospital Can be Adapted for Everyday Use 3Health News:Infection-Control Strategies at Leading Hospital Can be Adapted for Everyday Use 4Health News:Pack Right for the Holidays to Avoid the ER 2Health News:Dr. Douglas Macmillan Now Providing LUMINEERS at Research Triangle Dental 2Health News:Kansas City Prepares for Largest Free Health Clinic 2
...etnam veterans who experienced posttraumatic stres... heart disease as veterans without PTSD, a new Gei... July issue of Psychosomatic Medicine, Geisinger... , The more severe the PTSD diagnosis, the greate...
... Contract Sales Organization And Seek New Marketin...UK -, LAVAL, QC, July 7 /PRNewswire-FirstCall/ - ...unced that it has reacquired the sales and,marketi...n the UK, the Company will engage a contract sales...
...n: Although younger people are becoming more posit...es to surrogacy are still broadly negative, a scie...European Society of Human Reproduction and Embryol... previous stigmatisation of surrogate mothers in t...
...ll-being of families where children lack a genetic...ts where the children have been conceived through...s long been a subject of debate. Now, in the first...e few differences between them and families in who...
... Upside to “Epidemic” Surgery: ...ds , Orlando, Florida (PR...tes who had “Tommy John” elbow reconst... for Sports Medicine Annual Meeting at JW Marriot...
...ada Diabetes mellitus is a metabolic disorder cha...ed,lipid and carbohydrate metabolism, and is assoc...lting from hyperglycemiainduced,inflammation. Vasc...itating neuropathies, poor wound healing, enhanced...
Other Medicine News:Health News:Labopharm Reaquires UK Sales And Marketing Rights to Its Once-Daily Tramadol Product 2Health News:Surrogacy still stigmatized, though attitudes changing among younger women 2Health News:Families with children without a genetic or gestational link to their parents are functioning well 2Health News:Families with children without a genetic or gestational link to their parents are functioning well 3Health News:Families with children without a genetic or gestational link to their parents are functioning well 4Health News:Families with children without a genetic or gestational link to their parents are functioning well 5Health News:Dramatic Increase in 'Tommy John' Surgery in Young Patients Cause for Concern 2Health News:Dramatic Increase in 'Tommy John' Surgery in Young Patients Cause for Concern 3
(Date:11/25/2009)..., CHAPEL HILL, N.C., Nov. 25 Ce...bhavathi Fernandes, president and chief executive ...nual Health Care Conference at 8:50 a.m. EST, Dece...York City. Dr. Fernandes will provide an overview...programs for the treatment of drug-resistant patho...
(Date:11/25/2009)..., FRAMINGHAM, Mass. and SYDNEY, Nov. 25 /PRNewswi...sdaq: HTWR ; ASX: HIN), a leading innovator and p... support technologies revolutionizing the treatmen...it is scheduled to make an investor presentation a...ence at 8:00 am EST on Wednesday, December 2, 2009...
(Date:11/24/2009)... IRVINE, Calif., Nov. 24 ...nimally invasive treatments for aortic disorders, ..., or discontinue all proceedings in, the patent in...009 by Cook, Inc. The motion was filed in the Uni.... ,, Endologix has requested that the stay rema...
Breaking Medicine Technology:HeartWare to Present at 21st Annual Piper Jaffray Health Care Conference in New York City 2Endologix Files Motion to Discontinue Court Proceedings Related to Alleged Patent Infringement 2Greenway Medical Technologies Continues to Lead the Evolution of Healthcare Automation at National Health IT Week in Washington D C 5345 1Greenway Medical Technologies Continues to Lead the Evolution of Healthcare Automation at National Health IT Week in Washington D C 5345 2Greenway Medical Technologies Continues to Lead the Evolution of Healthcare Automation at National Health IT Week in Washington D C 5345 3Greenway Medical Technologies Continues to Lead the Evolution of Healthcare Automation at National Health IT Week in Washington D C 5345 4Reportlinker Adds Computer Assisted Coding Of Medical Information Market Shares Strategies and Forecasts 2008 to 2014 5340 1Reportlinker Adds Computer Assisted Coding Of Medical Information Market Shares Strategies and Forecasts 2008 to 2014 5340 2Reportlinker Adds Computer Assisted Coding Of Medical Information Market Shares Strategies and Forecasts 2008 to 2014 5340 3Reportlinker Adds Computer Assisted Coding Of Medical Information Market Shares Strategies and Forecasts 2008 to 2014 5340 4Newly Updated Pharmacy State Law Compendium Available 5335 1Newly Updated Pharmacy State Law Compendium Available 5335 2
...Nasdaq: DATA ), a technology and services company...nical trials industry, today reported its,operatin... three months ended March 31, 2008, revenue decrea...y reported a net loss of,$(2,233,000), or $(0.16) ...,results compared with revenue of $3,542,000 and a...
...enapine in the treatment of schiz...8 Schering-Plough Corporation,(NYSE: SGP ) today...trials,from the Olympia program was presented at t...c Association in Washington, D.C., May 3-8. Data f... disorder and schizophrenia,were presented in two ...
Other Medicine Technology:DATATRAK International Reports First Quarter Results for 2008 2DATATRAK International Reports First Quarter Results for 2008 3DATATRAK International Reports First Quarter Results for 2008 4DATATRAK International Reports First Quarter Results for 2008 5DATATRAK International Reports First Quarter Results for 2008 6DATATRAK International Reports First Quarter Results for 2008 7Overview of Asenapine Data from Olympia Trial Program Presented at American Psychiatric Association Annual Meeting 2Overview of Asenapine Data from Olympia Trial Program Presented at American Psychiatric Association Annual Meeting 3Overview of Asenapine Data from Olympia Trial Program Presented at American Psychiatric Association Annual Meeting 4Overview of Asenapine Data from Olympia Trial Program Presented at American Psychiatric Association Annual Meeting 5Overview of Asenapine Data from Olympia Trial Program Presented at American Psychiatric Association Annual Meeting 6Overview of Asenapine Data from Olympia Trial Program Presented at American Psychiatric Association Annual Meeting 7
Sealing Mat for 384-well PCR plate
...pha unit, these new pads may be used in applicatio...essive runs may be sealed with the same pad. The M...te from sticking to the block and lid, and Microse...rformance, which means you can use as little as 50...
...pha unit, these new pads may be used in applicatio...essive runs may be sealed with the same pad. The...late from sticking to the block and lid, and Micro...performance, which means you can use as little as ...
Microseal 'M' mats
Medicine Products: