Navigation Links
Primary care financial incentives cut heart disease deaths and admissions
Date:9/7/2010

Financial incentives in primary care cut heart disease deaths and hospital admissions, particularly among people from deprived areas, finds research published online in the Journal of Epidemiology and Community Health.

Current evidence suggests that linking financial incentives to quality improvement has improved the overall quality of primary care in the UK, but so far there has been little evidence to suggest that better quality primary care actually improves health.

The authors base their findings on 8,345,353 patients registered in 2006/7 with 1531 general practices in London, a city with substantial health inequalities, including wide discrepancies in deaths from cardiovascular disease.

They used information on coronary heart disease indicators against which general practices are measured and financially rewarded, depending on their achievements, under an incentive scheme referred to as the Quality and Outcomes Framework or QOF for short.

They used the QOF data to devise a heart disease quality achievement score for the practice, adjusted for factors likely to unduly influence the results, and plotted this against associated hospital admissions and deaths among practice patients.

The analysis showed that, overall, practices with higher quality achievement scores had lower death rates and fewer hospital admissions for their heart disease patients, with the impact twice as great in deprived areas.

Each one point increase in score was associated with 4.28 fewer admissions per 100,000 of the population for practices in the most deprived areas and 2.11 fewer admissions for practices in areas of average deprivation.

Similarly, every one point increase in score was associated with 1.4 fewer heart disease deaths for practices in the most deprived areas. No such association was found for practices in affluent areas.

Differences in death rates for coronary heart disease account for around 20% of the difference in life expectancy between the most disadvantaged areas in the UK and the general population, say the authors.

And they conclude: "Population wide financial incentives have the potential to reduce inequalities in healthcare provision if designed appropriately."

"There is already evidence that the QOF incentive scheme has contributed to reduced inequalities in healthcare in the UK," they add. "Results from this study suggest that [the scheme] may have also contributed to reducing inequalities in health outcomes."


'/>"/>

Contact: Emma Dickinson
edickinson@bmjgroup.com
44-207-383-6529
BMJ-British Medical Journal
Source:Eurekalert

Related medicine news :

1. UT Southwestern University Hospital -- St. Paul recognized as Primary Stroke Center
2. Primary care doctors get little information about chronic sinusitis
3. Reform of primary care could reduce diagnostic errors
4. Safety in Children's Pain Relief Products a Primary Concern
5. New tool to rule out coronary heart disease in primary care
6. Differences between women and men with a primary psychotic episode analyzed in a Ph.D. thesis
7. The Jewish Fund Awards Mercy Primary Care Center $100,000 Over Three Years for Chronic Disease Management of Hypertensive Patients
8. ACP supports announcement of investments in expansion of primary care workforce
9. Pivotal data for the investigational treatment PSD502 for primary premature ejaculation
10. Physician assistants and internists reaffirm need for team-based primary care
11. Primary Care Docs Handling More HIV Cases
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... ... May 27, 2016 , ... ... educate the many who are unaware of the plight of aphasia. In collaboration ... within the “Stroke Awareness” campaign. , The link between stroke and aphasia is ...
(Date:5/27/2016)... NY (PRWEB) , ... May 27, 2016 , ... ... world, this installment is bolstered by inspiring human interest stories, courtesy of leaders ... developing trends and tech within the industry, from leading advocates and associations—namely Jones ...
(Date:5/27/2016)... ... May 27, 2016 , ... Each ... studying complementary medicine. Allison Outerbridge is this year’s Life University winner ... 18 at the university’s Student Leadership Awards ceremony. , Outerbridge is approaching her ...
(Date:5/26/2016)... , ... May 26, 2016 , ... Despite last week’s ... expect Janet Yellen and company to wait until March 2017 for an interest rate ... J. Mack Robinson College of Business. , “The Federal Open Market Committee (FOMC) dot ...
(Date:5/26/2016)... New Hampshire (PRWEB) , ... May 26, 2016 , ... ... skin care products, has been honored with a 2016 When Work Works Award for ... prestigious award, part of the national When Work Works project administered by the Families ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... 2016 ReportsnReports.com adds "Chronic ... that provides an overview on therapeutic pipeline of ... stages, therapeutics assessment by drug target, mechanism of ... type, along with latest updates, and featured news ... involved in the therapeutic development for Chronic Cough ...
(Date:5/24/2016)... 24, 2016   ... primären Endpunkte und demonstriert Ebenbürtigkeit bei ... ‚ausgezeichneter plus guter , ...      (Logo: http://photos.prnewswire.com/prnh/20130829/633895-a ) ... positive Daten von der MORA-Studie der Phase III ...
(Date:5/24/2016)... ARANZ Medical  Ltd a specialist ... has been named the Coretex Hi-Tech Emerging Company of the ... Dr Bruce Davey , CEO of ARANZ Medical says, ... good to be recognised for the work we are doing ... in 35 countries around the world from Sub-Saharan Africa through ...
Breaking Medicine Technology: