Impact of a Pay-for-Performance Incentive Scheme on Age, Sex, and Socioeconomic Disparities in Diabetes Management in UK Primary Care

被引：23

作者：

Hamilton, Fiona Louise ^{[1
]}

Bottle, Alex ^{[1
]}

Vamos, Eszter Panna ^{[1
]}

Curcin, Vasa ^{[2
]}

Ng, Anthea ^{[1
]}

Molokhia, Mariam ^{[3
]}

Majeed, Azeem ^{[1
]}

Millett, Christopher ^{[1
]}

机构：

[1] Imperial Coll London, Dept Primary Care & Publ Hlth, London, England

[2] Imperial Coll London, Dept Comp, London, England

[3] London Sch Hyg & Trop Med, Dept Epidemiol & Populat Hlth, London, England

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2010年 / 33卷 / 04期

基金：

英国医学研究理事会;

关键词：

diabetes mellitus; disparities; pay for performance; primary care;

D O I：

10.1097/JAC.0b013e3181f68f1d

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We examined the impact of a major pay-for-performance initiative introduced into UK primary care in 2004 on disparities in diabetes management between age, sex, and socioeconomic groups in this retrospective cohort study. We used data from the General Practice Research Database enrolling 422 family practices. Existing disparities in risk factor management (HbA1c, blood pressure, cholesterol) narrowed between men and women. Younger patients (<45 years) with diabetes appear to have benefited less from Quality and Outcomes Framework than older patients, resulting in some widening of existing age group disparities. Patients living in affluent and deprived areas appeared to have derived a similar level of benefit from pay for performance.

引用

页码：336 / 349

页数：14

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