ArticleBMJ (Clinical research ed.)1992
Primary and preschool immunisation in Grampian: progress and the 1990 contract.
Article in BMJ (Clinical research ed.), 1992. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.
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- Systematic review: Effects, design choices, and context of pay-for-performance in health care.BMC health services research · 2010Pooled it
- Target payments in primary care: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2000Pooled it
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- Evaluating Service Organization Models: The Relevance and Methodological Challenges of a Configurational Approach.Evaluation (London, England : 1995) · 2009Article
- Factors influencing the uptake of childhood immunisation in rural areas.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Qualitative study of pilot payment aimed at increasing general practitioners' antismoking advice to smokers.BMJ (Clinical research ed.) · 2001Article
- Effect of practice and patient population characteristics on the uptake of childhood immunizations.The British journal of general practice : the journal of the Royal College of General Practitioners · 1995Article
- Comparison of uptake of breast screening, cervical screening, and childhood immunisation.BMJ (Clinical research ed.) · 1995Article
- Myths in medicine. Immunisation.BMJ (Clinical research ed.) · 1994Review
- 'Well baby' review and screening for hepatobiliary diseases.Archives of disease in childhood · 1993Article
- Checking quality of health care records.BMJ (Clinical research ed.) · 1992Article
- Checking quality of health care records.BMJ (Clinical research ed.) · 1992Article
- Design of Pay-for-Performance Programs Affects Clinical Staff Perceptions of HPV Vaccine Incentives: Evidence from a US Survey.Inquiry : a journal of medical care organization, provision and financingArticle
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5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine changes in immunisation performance in Grampian region after the introduction of the 1990 contract for general practitioners.
designRetrospective descriptive study using data held on the Grampian immunisation record system's computer.
settingAll 95 general practices in Grampian region (313 general practitioners). PATIENTS: All children in the primary immunisation and preschool booster age groups. This formed two groups of children for each of the four calendar quarters of 1990 and first three quarters of 1991 analysed as (a) those aged 2 years on the first day of the relevant quarter and (b) those aged 5 years on the first day of the relevant quarter, with an average population of 6600 and 6400 respectively.
main outcome measurePercentage immunised by practice.
resultsFor primary immunisation the number of practices achieving immunisation rates of at least 95% increased from 29 (31%) to 76 (81%), and practices achieving 90% rates rose from 69 (73%) to 87 (93%). For preschool boosters, the number of practices achieving at least 95% immunisation rates increased from 22 (23%) to 61 (64%). By the end of September 1991, 76 (80%) practices were achieving at least 90% levels compared with 36 (39%) at the beginning of 1990. Since the beginning of 1989 the proportion of immunisations not given by general practitioners declined from 14% to 2%.
conclusionsPrimary and preschool immunisation rates for preschool children in Grampian showed a sustained improvement during 1990 and consolidation in 1991. Although overall trends were unchanged, 18 months after the introduction of the 1990 contract only one practice failed to meet lower target levels of 70% for both primary and preschool immunisation. By September 1991 more than three out of four practices had reached levels of at least 95% for primary immunisation.
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