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From the same journal

Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme

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Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme. / Kontopantelis, E.; Doran, Timothy; Gravelle, H.; Goudie, R.; Siciliani, L.; Sutton, M.

In: Health services research, Vol. 47, No. 3 part 1, 06.2012, p. 1117-1136.

Research output: Contribution to journalArticle

Harvard

Kontopantelis, E, Doran, T, Gravelle, H, Goudie, R, Siciliani, L & Sutton, M 2012, 'Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme', Health services research, vol. 47, no. 3 part 1, pp. 1117-1136. https://doi.org/10.1111/j.1475-6773.2011.01362.x

APA

Kontopantelis, E., Doran, T., Gravelle, H., Goudie, R., Siciliani, L., & Sutton, M. (2012). Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme. Health services research, 47(3 part 1), 1117-1136. https://doi.org/10.1111/j.1475-6773.2011.01362.x

Vancouver

Kontopantelis E, Doran T, Gravelle H, Goudie R, Siciliani L, Sutton M. Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme. Health services research. 2012 Jun;47(3 part 1):1117-1136. https://doi.org/10.1111/j.1475-6773.2011.01362.x

Author

Kontopantelis, E. ; Doran, Timothy ; Gravelle, H. ; Goudie, R. ; Siciliani, L. ; Sutton, M. / Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme. In: Health services research. 2012 ; Vol. 47, No. 3 part 1. pp. 1117-1136.

Bibtex - Download

@article{10fdc11cbb98435db3526b3caff34bc4,
title = "Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme",
abstract = "OBJECTIVE: To analyze the effect of setting higher targets, in a primary care pay-for-performance scheme, on rates of influenza immunization and exception reporting. STUDY SETTING: The U.K. Quality and Outcomes Framework links financial rewards for family practices to four separate influenza immunization rates for patients with coronary heart disease (CHD), chronic obstructive pulmonary disease, diabetes, and stroke. There is no additional payment for immunization rates above an upper threshold. Patients for whom immunization would be inappropriate can be excepted from the practice for the calculation of the practice immunization rate. DATA: Practice-level information on immunizations and exceptions extracted from electronic records of all practices in England 2004/05 to 2009/10 (n = 8,212-8,403). STUDY DESIGN: Longitudinal random effect multilevel linear regressions comparing changes in practice immunization and exception rates for the four chronic conditions before and after the increase in the upper threshold immunization rate for CHD patients in 2006/07. PRINCIPAL FINDINGS: The 5 percent increase in the upper payment threshold for CHD was associated with increases in the proportion of immunized CHD patients (0.41 percent, CI: 0.25-0.56 percent), and exception was reported (0.26 percent, CI: 0.12-0.40 percent). CONCLUSIONS: Making quality targets more demanding can not only lead to improvement in quality of care but can also have other consequences.",
keywords = "Quality and Outcomes Framework (QOF), influenza immunization, PAY-FOR-PERFORMANCE, upper threshold",
author = "E. Kontopantelis and Timothy Doran and H. Gravelle and R. Goudie and L. Siciliani and M. Sutton",
year = "2012",
month = "6",
doi = "10.1111/j.1475-6773.2011.01362.x",
language = "English",
volume = "47",
pages = "1117--1136",
journal = "Health services research",
issn = "0017-9124",
publisher = "Wiley-Blackwell",
number = "3 part 1",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Family Doctor Responses to Changes in Incentives for Influenza Immunization under the UK Quality and Outcomes Framework Pay-for-Performance Scheme

AU - Kontopantelis, E.

AU - Doran, Timothy

AU - Gravelle, H.

AU - Goudie, R.

AU - Siciliani, L.

AU - Sutton, M.

PY - 2012/6

Y1 - 2012/6

N2 - OBJECTIVE: To analyze the effect of setting higher targets, in a primary care pay-for-performance scheme, on rates of influenza immunization and exception reporting. STUDY SETTING: The U.K. Quality and Outcomes Framework links financial rewards for family practices to four separate influenza immunization rates for patients with coronary heart disease (CHD), chronic obstructive pulmonary disease, diabetes, and stroke. There is no additional payment for immunization rates above an upper threshold. Patients for whom immunization would be inappropriate can be excepted from the practice for the calculation of the practice immunization rate. DATA: Practice-level information on immunizations and exceptions extracted from electronic records of all practices in England 2004/05 to 2009/10 (n = 8,212-8,403). STUDY DESIGN: Longitudinal random effect multilevel linear regressions comparing changes in practice immunization and exception rates for the four chronic conditions before and after the increase in the upper threshold immunization rate for CHD patients in 2006/07. PRINCIPAL FINDINGS: The 5 percent increase in the upper payment threshold for CHD was associated with increases in the proportion of immunized CHD patients (0.41 percent, CI: 0.25-0.56 percent), and exception was reported (0.26 percent, CI: 0.12-0.40 percent). CONCLUSIONS: Making quality targets more demanding can not only lead to improvement in quality of care but can also have other consequences.

AB - OBJECTIVE: To analyze the effect of setting higher targets, in a primary care pay-for-performance scheme, on rates of influenza immunization and exception reporting. STUDY SETTING: The U.K. Quality and Outcomes Framework links financial rewards for family practices to four separate influenza immunization rates for patients with coronary heart disease (CHD), chronic obstructive pulmonary disease, diabetes, and stroke. There is no additional payment for immunization rates above an upper threshold. Patients for whom immunization would be inappropriate can be excepted from the practice for the calculation of the practice immunization rate. DATA: Practice-level information on immunizations and exceptions extracted from electronic records of all practices in England 2004/05 to 2009/10 (n = 8,212-8,403). STUDY DESIGN: Longitudinal random effect multilevel linear regressions comparing changes in practice immunization and exception rates for the four chronic conditions before and after the increase in the upper threshold immunization rate for CHD patients in 2006/07. PRINCIPAL FINDINGS: The 5 percent increase in the upper payment threshold for CHD was associated with increases in the proportion of immunized CHD patients (0.41 percent, CI: 0.25-0.56 percent), and exception was reported (0.26 percent, CI: 0.12-0.40 percent). CONCLUSIONS: Making quality targets more demanding can not only lead to improvement in quality of care but can also have other consequences.

KW - Quality and Outcomes Framework (QOF)

KW - influenza immunization

KW - PAY-FOR-PERFORMANCE

KW - upper threshold

UR - http://www.scopus.com/inward/record.url?scp=84861184693&partnerID=8YFLogxK

U2 - 10.1111/j.1475-6773.2011.01362.x

DO - 10.1111/j.1475-6773.2011.01362.x

M3 - Article

VL - 47

SP - 1117

EP - 1136

JO - Health services research

T2 - Health services research

JF - Health services research

SN - 0017-9124

IS - 3 part 1

ER -