Evidence map›Paper›PMID 20346154›Full record

ArticleBMC public health2010

Do financial incentives for delivering health promotion counselling work? Analysis of smoking cessation activities stimulated by the quality and outcomes framework.

Tim Coleman

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01615237 (Implementing Tobacco Use Treatment Guidelines in Dental Public Health Clinics), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01615237 nacompletednot on this mapstarted 2013, after this paper: background citation

Implementing Tobacco Use Treatment Guidelines in Dental Public Health Clinics

TypeinterventionalSponsorNYU Langone HealthRan2013 to 2018Enrolled3,207ConditionsTobacco Use TreatmentArmsAudit and performance feedback (PF), Financial Incentive (P4P), Current Best Practices (CBP)
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Smoking cessation interventions for patients with coronary heart disease and comorbidities: an observational cross-sectional study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Tim ColemanReader in Primary Care, UK Centre for Tobacco Control Studies, Division of Primary Care, University of Nottingham, Medical School, Queen's Medical Centre, Nottingham, NG7 2UH, UK. tim.coleman@nottingham.ac.uk

Funding

British Heart FoundationCancer Research UKDepartment of HealthMedical Research Council
6 · The paper itself

Abstract

backgroundA substantial fraction of UK general practitioners' salaries is now intended to reflect the quality of care provided. This performance-related pay system has probably improved aspects of primary health care but, using the observational data available, disentangling the impacts of different types of targets set within this unique payment system is challenging. DISCUSSION: Financial incentives undoubtedly influence GPs' activities, however, those aimed at encouraging GPs' delivery of health promotion counselling may not always have the effects intended. There is strong, observational evidence that targets and incentives intended to increase smoking cessation counselling by GPs have merely increased their propensity to record this activity in patients' medical records. The limitations of using financial incentives to stimulate the delivery of counselling in primary care are discussed and a re-appraisal of their use within UK GPs' performance-related pay system is argued for. SUMMARY: The utility of targets employed by the system for UK General Practitioners' performance related pay may be inappropriate for encouraging the delivery of health promotion counselling interventions. An evaluation of these targets is essential before they are further developed or added to.

Indexed as

CounselingQuality Indicators, Health CareAdultFamily PracticeHealth PromotionHumansOutcome Assessment, Health CarePhysician Incentive PlansPractice Patterns, Physicians'SmokingSmoking CessationSmoking PreventionUnited Kingdom

Identifiers

PMID20346154
PMCPMC3091543

What OpenQuestion holds

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LicenceCC BY
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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.