ArticleJournal of general internal medicine2008
Association between quality of primary care and hospitalization for coronary heart disease in England: national cross-sectional study.
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- A systematic review of the magnitude and cause of geographic variation in unplanned hospital admission rates and length of stay for ambulatory care sensitive conditions.BMC health services research · 2015Pooled it
- The equity dimension in evaluations of the quality and outcomes framework: a systematic review.BMC health services research · 2011Pooled it
- Obesity and the Bidirectional Risk of Cancer and Cardiovascular Diseases in African Americans: Disparity vs. Ancestry.Frontiers in cardiovascular medicine · 2021Review
- Article
- Does Quality Affect Patients' Choice of Doctor? Evidence from England.Economic journal (London, England) · 2017Article
- Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data.Journal of global health · 2016Article
- A population-based analysis of incentive payments to primary care physicians for the care of patients with complex disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Article
- Associations between exemption and survival outcomes in the UK's primary care pay-for-performance programme: a retrospective cohort study.BMJ quality & safety · 2016Article
- [Avoidable Hospital Admissions for Heart Failure, Spain].Revista espanola de salud publica · 2016Article
- [Analysis of the influence of the process of care in primary health care on avoidable hospitalizations for heart failure].Atencion primaria · 2016Article
- Are primary care factors associated with hospital episodes for adverse drug reactions? A national observational study.BMJ open · 2015Observational
- Quality of Disease Management and Risk of Mortality in English Primary Care Practices.Health services research · 2015Observational
- Does the quality and outcomes framework reduce psychiatric admissions in people with serious mental illness? A regression analysis.BMJ open · 2015Article
- Investigating the relationship between quality of primary care and premature mortality in England: a spatial whole-population study.BMJ (Clinical research ed.) · 2015Article
- Incentive-Based Primary Care: Cost and Utilization Analysis.The Permanente journal · 2015Article
- The influence of primary care quality on hospital admissions for people with dementia in England: a regression analysis.PloS one · 2015Article
- Effect of a national primary care pay for performance scheme on emergency hospital admissions for ambulatory care sensitive conditions: controlled longitudinal study.BMJ (Clinical research ed.) · 2014Article
- Physical health indicators in major mental illness: analysis of QOF data across UK general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Spatio-temporal variation and prediction of ischemic heart disease hospitalizations in Shenzhen, China.International journal of environmental research and public health · 2014Article
- Ecological studies: use with caution.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundA new pay-for-performance scheme for primary care physicians was introduced in England in 2004 as part of an initiative to link the quality of primary care with physician pay.
objectiveTo investigate the association between the quality of primary care and rates of hospital admissions for coronary heart disease.
designEcological cross-sectional study using data from the Quality and Outcomes Framework for family practice, hospital admissions, and census data.
participantsAll 303 primary care trusts in England, covering approximately 50 million people. MEASUREMENTS: Rates of elective and unplanned hospital admissions for coronary heart disease and rates of coronary angioplasty and coronary artery bypass grafting were regressed against quality-of-care measures from the Quality and Outcomes Framework, area socioeconomic scores, and disease prevalence.
resultsCorrelations between prevalence, area socioeconomic scores, and admission rates were generally weak. The strongest relations were seen between area socioeconomic scores and elective and unplanned hospital admissions and revascularization procedures among the age group 45-74 years. Among those aged 75 years and over, the only positive association observed was between area socioeconomic scores and unplanned hospital admissions.
conclusionsThe lack of an association between quality scores and admission rates suggests that improving the quality of primary care may not reduce demands on the hospital sector and that other factors are much better predictors of hospitalization for coronary heart disease.
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Registered trials
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.