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dc.contributor.authorDoran, T
dc.contributor.authorKontopantelis, E
dc.contributor.authorValderas, JM
dc.contributor.authorCampbell, S
dc.contributor.authorRoland, M
dc.contributor.authorSalisbury, C
dc.contributor.authorReeves, D
dc.date.accessioned2018-10-30T10:55:50Z
dc.date.issued2011-06-28
dc.description.abstractOBJECTIVE: To investigate whether the incentive scheme for UK general practitioners led them to neglect activities not included in the scheme. DESIGN: Longitudinal analysis of achievement rates for 42 activities (23 included in incentive scheme, 19 not included) selected from 428 identified indicators of quality of care. SETTING: 148 general practices in England (653 500 patients). MAIN OUTCOME MEASURES: Achievement rates projected from trends in the pre-incentive period (2000-1 to 2002-3) and actual rates in the first three years of the scheme (2004-5 to 2006-7). RESULTS: Achievement rates improved for most indicators in the pre-incentive period. There were significant increases in the rate of improvement in the first year of the incentive scheme (2004-5) for 22 of the 23 incentivised indicators. Achievement for these indicators reached a plateau after 2004-5, but quality of care in 2006-7 remained higher than that predicted by pre-incentive trends for 14 incentivised indicators. There was no overall effect on the rate of improvement for non-incentivised indicators in the first year of the scheme, but by 2006-7 achievement rates were significantly below those predicted by pre-incentive trends. CONCLUSIONS: There were substantial improvements in quality for all indicators between 2001 and 2007. Improvements associated with financial incentives seem to have been achieved at the expense of small detrimental effects on aspects of care that were not incentivised.en_GB
dc.description.sponsorshipThere was no direct funding for this study, but the National Primary Care Research and Development Centre receives core funding from the UK Department of Health.en_GB
dc.identifier.citationVol. 342, article d3590en_GB
dc.identifier.doi10.1136/bmj.d3590
dc.identifier.urihttp://hdl.handle.net/10871/34549
dc.language.isoenen_GB
dc.publisherBMJ Publishing Groupen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/21712336en_GB
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.en_GB
dc.subjectFinancing, Governmenten_GB
dc.subjectGeneral Practiceen_GB
dc.subjectMotivationen_GB
dc.subjectOutcome Assessment (Health Care)en_GB
dc.subjectQuality of Health Careen_GB
dc.subjectUnited Kingdomen_GB
dc.titleEffect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Frameworken_GB
dc.typeArticleen_GB
dc.date.available2018-10-30T10:55:50Z
exeter.place-of-publicationEnglanden_GB
dc.descriptionThis is the final version. Available on open access from BMJ Publishing Group via the DOI in this recorden_GB
dc.descriptionData sharing: Technical appendix and statistical code available from the corresponding author (tim.doran@manchester.ac.uk). The dataset was derived from the General Practice Research Database and is not available from the authors, but it can be derived on application to GPRD.en_GB
dc.identifier.journalBMJen_GB


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