ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Impact of practice size on delivery of diabetes care before and after the Quality and Outcomes Framework implementation.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 5 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Effectiveness of UK provider financial incentives on quality of care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Pooled it
- Implementation Processes and Pay for Performance in Healthcare: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- The equity dimension in evaluations of the quality and outcomes framework: a systematic review.BMC health services research · 2011Pooled it
- Systematic review: Effects, design choices, and context of pay-for-performance in health care.BMC health services research · 2010Pooled it
- A reporting framework for describing and a typology for categorizing and analyzing the designs of health care pay for performance schemes.BMC health services research · 2018Article
- History Bias, Study Design, and the Unfulfilled Promise of Pay-for-Performance Policies in Health Care.Preventing chronic disease · 2016Article
- Role of Patient and Practice Characteristics in Variance of Treatment Quality in Type 2 Diabetes between General Practices.PloS one · 2016Article
- Association of practice size and pay-for-performance incentives with the quality of diabetes management in primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Article
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8 authors.
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Abstract
General practice characteristics are important for healthcare providers to maximise outcomes. Although different aspects of general practice characteristics have been studied previously, the impact of practice size on the delivery of care has been sparsely studied, particularly in relation to diabetes care. This brief report presents a longitudinal study in Shropshire (66 practices, 16,858 patients with diabetes) to assess the impact of practice size on diabetes care before and after implementation of the Quality and Outcomes Framework (QOF). Achievement of glycaemic control targets was better before the QOF for larger as compared to smaller practices (P=0.02 and P=0.003 for haemoglobin A1c [HbA1c]<or=7.4% and 10% respectively). This difference disappeared following QOF implementation. Repeated measures analysis showed significant improvement in achieving glycaemic control targets following QOF implementation in both large and small practices (P<0.001 for HbA1c<or=7.4% and 10%). The study failed to reveal an impact of practice size on achieving the HbA1c target<or=7.4% (P=0.1) by this analysis. However, it did show an impact on reaching the target of HbA1c<10% (P=0.04) in favour of smaller practices. There was a significant difference in favour of smaller practices for achievement of prescription of angiotensin-converting enzyme inhibitors (P=0.001).
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