ArticleQuality & safety in health care2004
Will changes in primary care improve health outcomes? Modelling the impact of financial incentives introduced to improve quality of care in the UK.
Article in Quality & safety in health care, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Risk models and scores for type 2 diabetes: systematic review.BMJ (Clinical research ed.) · 2011Pooled it
- Systematic review: Effects, design choices, and context of pay-for-performance in health care.BMC health services research · 2010Pooled it
- Systematic review of implementation strategies for risk tables in the prevention of cardiovascular diseases.Vascular health and risk management · 2008Pooled it
- The effect of old-age pensions on health care utilization patterns and insurance uptake in Mexico.BMJ global health · 2019Article
- Associations between structures and resources of primary care at the district level and health outcomes: a case study of diabetes mellitus care in Thailand.Risk management and healthcare policy · 2018Article
- LEVEL OF COMPETENCIES OF FAMILY PHYSICIANS IN KOSOVO FROM DIFFERENT PERSPECTIVES.Materia socio-medica · 2016Article
- QOF's post-mortem.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Strategies to facilitate implementation and sustainability of large system transformations: a case study of a national program for improving quality of care for elderly people.BMC health services research · 2014Article
- The Public Health Impact score: a new measure of public health effectiveness for general practices in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
- Article
- Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework.BMJ (Clinical research ed.) · 2011Article
- Predictors of health-related quality of life in patients at risk for cardiovascular disease in European primary care.PloS one · 2011Article
- The UK pay-for-performance programme in primary care: estimation of population mortality reduction.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Guideline implementation in clinical practice: use of statistical process control charts as visual feedback devices.Journal of family & community medicine · 2009Article
- Differences in the quality of primary medical care services by remoteness from urban settlements.Quality & safety in health care · 2007Article
- The Quality and Outcomes Framework: too early for a final verdict.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Quality of clinical primary care and targeted incentive payments: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Quality indicators for cardiovascular primary care.The Canadian journal of cardiology · 2007Article
- The meaning of quality work from the general practitioner's perspective: an interview study.BMC family practice · 2006Article
- Potential population impact of the UK government strategy for reducing the burden of coronary heart disease in England: comparing primary and secondary prevention strategies.Quality & safety in health care · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the total health gain from improving the quality of care among patients with cardiovascular disease in line with the quality indicator targets in the new contract for general practitioners (GPs) in the UK.
designStatistical modelling, applying population impact measures to estimate cardiovascular health gains from achieving treatment targets in the GP contract, taking into account current levels of treatment and control.
main outcome measuresNumber of events prevented in the population over 5 years applied to a national general practice population of 10,000.
resultsThe greatest health gain in those aged 45-84 years would come from reaching cholesterol reduction targets. This could prevent 15 events in people with coronary heart disease, seven events in those with a history of stroke, and seven events in those with diabetes. Achieving blood pressure control targets in hypertensive patients without the above conditions could prevent 15 cardiovascular events, with further benefits from reducing blood pressure in patients with high blood pressure and coronary heart disease, stroke, or diabetes. Achieving other targets would have smaller impacts because high levels of care are already being achieved or because of the low prevalence of conditions or associated event risk.
conclusionIt is possible to quantify the health gain to a practice population of achieving quality targets such as those set in the new GP contract. The amount of health gain is sensitive to current quality of care, prevalence of conditions, and risk factors, and to the size of change anticipated. Nevertheless, it appears that significant health gains could result from achieving the proposed quality targets.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.