ArticleBMC family practice2006
The relationship between general practice characteristics and quality of care: a national survey of quality indicators used in the UK Quality and Outcomes Framework, 2004-5.
Article in BMC family practice, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Implementation Processes and Pay for Performance in Healthcare: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- Perceived difficulty and appropriateness of decision making by General Practitioners: a systematic review of scenario studies.BMC health services research · 2014Pooled it
- The equity dimension in evaluations of the quality and outcomes framework: a systematic review.BMC health services research · 2011Pooled it
- The breadth of primary care: a systematic literature review of its core dimensions.BMC health services research · 2010Pooled it
- General practice variation in peptic ulcer prophylaxis: a nationwide register-based study.Scandinavian journal of primary health care · 2025Article
- General practice characteristics associated with pay-for-performance in the UK: a systematic review.BJGP open · 2025Article
- Practice list size, workforce composition and performance in English general practice: a latent profile analysis.BMC primary care · 2024Article
- The relationship between Quality and Outcomes Framework scores and socioeconomic deprivation: a longitudinal study.BJGP open · 2023Article
- Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice.Healthcare management forum · 2023Article
- Better with GPs as managers? - Variation in perceptions of feedback messages, goal-clarity and performance across manager´s in Swedish primary care.BMC health services research · 2023Article
- Article
- Evaluation of primary care services in Hungary: a comprehensive description of provision, professional competences, cooperation, financing, and infrastructure, based on the findings of the Hungarian-arm of the QUALICOPC study.Primary health care research & development · 2021Article
- Expectations, values, preferences and experiences of Hungarian primary care population when accessing services: Evaluation of the patient's questionnaires of the international QUALICOPC study.Primary health care research & development · 2021Article
- Article
- Group practice impacts on patients, physicians and healthcare systems: a scoping review.BMJ open · 2021Article
- Article
- Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study.BMJ open · 2019Article
- Factors influencing variation in participation in the National Diabetes Audit and the impact on the Quality and Outcomes Framework indicators of diabetes care management.BMJ open diabetes research & care · 2018Article
- Impact of primary care funding on secondary care utilisation and patient outcomes: a retrospective cross-sectional study of English general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Variations in achievement of evidence-based, high-impact quality indicators in general practice: An observational study.PloS one · 2017Observational
Corrections and comments
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2 authors.
Funding
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Abstract
backgroundThe descriptive information now available for primary care in the UK is unique in international terms. Under the 'Quality and Outcomes Framework' (QOF), data for 147 performance indicators are available for each general practice. We aimed to determine the relationship between the quality of primary care, as judged by the total QOF score, social deprivation and practice characteristics.
methodsWe obtained QOF data for each practice in England and linked these with census derived data (deprivation indices and proportion of patients born in a developing country). Characteristics of practices were also obtained. QOF and census data were available for 8480 practices.
resultsThe median QOF score was 999.7 out of a possible maximum of 1050 points. Three characteristics were independently associated with higher QOF scores: training practices, group practices and practices in less socially deprived areas. In a regression model, these three factors explained 14.6% of the variation in QOF score. Higher list sizes per GP, turnover of registered patients, chronic disease prevalence, proportions of elderly patients or patients born in a developing country did not contribute to lower QOF scores in the final model.
conclusionSocially deprived areas experience a lower quality of primary care, as judged by QOF scores. Social deprivation itself is an independent predictor of lower quality. Training and group practices are independent predictors of higher quality but these types of practices are less well represented in socially deprived areas.
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