ArticleAnnals of family medicine
The experience of pay for performance in English family practice: a qualitative study.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.
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Who cites it
62 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Design and effects of outcome-based payment models in healthcare: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Pooled it
- The equity dimension in evaluations of the quality and outcomes framework: a systematic review.BMC health services research · 2011Pooled it
- Health Care Professionals' Perceptions of Pay-for-Performance in Practice: A Qualitative Metasynthesis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework: a systematic review.Annals of family medicinePooled it
- 'It's what we should be doing anyway': using financial incentives to promote relational continuity in Australian General Practice-a nested case study analysis.Family practice · 2025Trial
- Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Article
- The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review.BMC primary care · 2025Article
- Advanced Nurse Practitioner (ANPs) experiences of the Quality and Outcomes Framework (QOF) Scheme: a UK case study.BMJ open · 2024Article
- Population health in primary care.Frontiers in medicine · 2024Article
- Understanding multidisciplinary care for people with rheumatic disease in British Columbia, Canada, through patients, nurses and physicians voices: a qualitative policy evaluation.BMC health services research · 2021Article
- Can social capital play a role in contracting services of family doctors in China? Reflections based on an integrative review.BMC family practice · 2021Review
- Conditions and barriers for quality improvement work: a qualitative study of how professionals and health centre managers experience audit and feedback practices in Swedish primary care.BMC family practice · 2021Article
- A pay for performance scheme in primary care: Meta-synthesis of qualitative studies on the provider experiences of the quality and outcomes framework in the UK.BMC family practice · 2020Article
- Incentive schemes to increase dementia diagnoses in primary care in England: a retrospective cohort study of unintended consequences.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Financial incentives linked to quality improvement projects in Swedish primary care: a model for improving quality of care.BMJ open quality · 2019Article
- The development and validation of a scale to explore staff experience of governance of economic efficiency and quality (GOV-EQ) of health care.BMC health services research · 2018Article
- Process measures or patient reported experience measures (PREMs) for comparing performance across providers? A study of measures related to access and continuity in Swedish primary care.Primary health care research & development · 2018Article
- Pay for performance associated with increased volume of medication reviews but not with less inappropriate use of medications among the elderly - an observational study.Scandinavian journal of primary health care · 2017Observational
- Managerial strategies to make incentives meaningful and motivating.Journal of health organization and management · 2017Article
2 more citing papers are in PubMed but not listed here.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe conducted an in-depth exploration of family physicians' and nurses' beliefs and concerns about changes to the family health care service as a result of the new pay-for-performance scheme in the United Kingdom (Quality and Outcomes Framework [QOF]).
methodsUsing a semistructured interview format, we interviewed 21 family doctors and 20 nurses in 22 nationally representative practices across England between February and August 2007.
resultsParticipants believed the financial incentives had been sufficient to change behavior and to achieve targets. The findings suggest that it is not necessary to align targets to professional priorities and values to obtain behavior change, although doing so enhances enthusiasm and understanding. Participants agreed that the aims of the pay-for-performance scheme had been met in terms of improvements in disease-specific processes of patient care and physician income, as well as improved data capture. It also led to unintended effects, such as the emergence of a dual QOF-patient agenda within consultations, potential deskilling of doctors as a result of the enhanced role for nurses in managing long-term conditions, a decline in personal/relational continuity of care between doctors and patients, resentment by team members not benefiting financially from payments, and concerns about an ongoing culture of performance monitoring in the United Kingdom.
conclusionsThe QOF scheme may have achieved its declared objectives of improving disease-specific processes of patient care through the achievement of clinical and organizational targets and increased physician income, but our findings suggest that it has changed the dynamic between doctors and nurses and the nature of the practitioner-patient consultation.
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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.