ArticleJournal of general internal medicine2009
Ethnic disparities in coronary heart disease management and pay for performance in the UK.
Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- The role of the Quality and Outcomes Framework in the care of long-term conditions: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Pooled it
- The impact of reimbursement systems on equity in access and quality of primary care: A systematic literature review.BMC health services research · 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
- Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework: a systematic review.Annals of family medicinePooled it
- Impact of a Pay-for-Performance Program on Care for Black Patients with Hypertension: Important Answers in the Era of the Affordable Care Act.Health services research · 2017Trial
- Association between quality of care and the sociodemographic composition of physicians' patient panels: a repeat cross-sectional analysis.Journal of general internal medicine · 2011Trial
- The impact of Croatia's 2013 Primary Care Payment Reform: an exploratory case study of a rural family practitioner group practice.Croatian medical journal · 2025Article
- Ethnic differences in guideline-indicated statin initiation for people with type 2 diabetes in UK primary care, 2006-2019: A cohort study.PLoS medicine · 2021 · on this mapObservational
- Effects of mixed provider payment systems and aligned cost sharing practices on expenditure growth management, efficiency, and equity: a structured review of the literature.BMC health services research · 2018Review
- Observational
- Ethnicity and pre-hospital care for people with suspected cardiac pain: cross-sectional study.Journal of evaluation in clinical practice · 2016Article
- Article
- Variations in statin prescribing for primary cardiovascular disease prevention: cross-sectional analysis.BMC health services research · 2014Article
- RISQy business (Relationships, Incentives, Supports, and Quality): evolution of the British Columbia Model of Primary Care (patient-centered medical home).The Permanente journal · 2014Article
- Designing an effective pay-for-performance system in the Korean National Health Insurance.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2012Review
- Type 2 diabetes: a cohort study of treatment, ethnic and social group influences on glycated haemoglobin.BMJ open · 2012Article
- Cardiovascular multimorbidity: the effect of ethnicity on prevalence and risk factor management.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- South Asians and coronary heart disease: always bad news?The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Learning from the European experience of using targets to improve population health.Preventing chronic disease · 2010Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundFew pay for performance schemes have been subject to rigorous evaluation, and their impact on disparities in chronic disease management is uncertain.
objectiveTo examine disparities in coronary heart disease management and intermediate clinical outcomes within a multiethnic population before and after the introduction of a major pay for performance initiative in April 2004.
designComparison of two cross-sectional surveys using electronic general practice records.
settingThirty-two family practices in south London, United Kingdom (UK). PATIENTS: Two thousand eight hundred and ninety-one individuals with coronary heart disease registered with participating practices in 2003 and 3,101 in 2005. MEASUREMENTS: Percentage achievement by ethnic group of quality indicators in the management of coronary heart disease
resultsThe proportion of patients reaching national treatment targets increased significantly for blood pressure (51.2% to 58.9%) and total cholesterol (65.7% to 73.8%) after the implementation of a major pay for performance initiative in April 2004. Improvements in blood pressure control were greater in the black group compared to whites, with disparities evident at baseline being attenuated (black 54.8% vs. white 58.3% reaching target in 2005). Lower recording of blood pressure in the south Asian group evident in 2003 was attenuated in 2005. Statin prescribing remained significantly lower (p < 0.001) in the black group compared with the south Asian and white groups after the implementation of pay for performance (black 74.8%, south Asian 83.8%, white 80.2% in 2005).
conclusionsThe introduction of pay for performance incentives in UK primary care has been associated with better and more equitable management of coronary heart disease across ethnic groups.
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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.