ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Impact of the GP contract on inequalities associated with influenza immunisation: a retrospective population-database analysis.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Vaccination in England: a review of why business as usual is not enough to maintain coverage.BMC public health · 2018Pooled it
- Barriers of Influenza Vaccination Intention and Behavior - A Systematic Review of Influenza Vaccine Hesitancy, 2005 - 2016.PloS one · 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
- Implementation Processes and Pay for Performance in Healthcare: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- Digital Gamification Tool (Let's Control Flu) to Increase Vaccination Coverage Rates: Proposal for Algorithm Development.JMIR research protocols · 2024Article
- Is disgust proneness prospectively associated with influenza vaccine hesitancy and uptake?Journal of behavioral medicine · 2023Article
- Widening Disparities in Teen HPV Vaccinations during COVID-19 Pandemic: A Case Study from Veneto Region (Italy).Vaccines · 2022Article
- Analysis of influenza vaccination coverage among the elderly living in Rome, based on a deprivation index, 2009-2013.Journal of preventive medicine and hygiene · 2018Article
- Local deprivation status and seasonal influenza vaccination coverage in adults ≥ 65 years residing in the Foggia municipality, Italy, 2009-2016.Journal of preventive medicine and hygiene · 2018Article
- Analysis of influenza vaccination coverage among the elderly in Genoa (Italy) based on a deprivation index, 2009-2013.Journal of preventive medicine and hygiene · 2018Article
- Withdrawing performance indicators: retrospective analysis of general practice performance under UK Quality and Outcomes Framework.BMJ (Clinical research ed.) · 2014Article
- Family doctor responses to changes in incentives for influenza immunization under the U.K. Quality and Outcomes Framework pay-for-performance scheme.Health services research · 2012Article
- Influenza vaccine uptake: the case for universal flu vaccination of young children.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInfluenza immunisation is recommended for all people aged ≥65 years and younger people with particular chronic diseases. The Quality and Outcomes Framework (QOF) has provided new financial incentives for influenza immunisation since 2004.
aimTo determine the impact of the 2004 UK General Medical Services contract on the overall uptake of, and socioeconomic inequalities associated with, influenza immunisation. DESIGN AND
settingRetrospective general-practice population database analysis in 15 general practices in Scotland, UK.
methodChanges in influenza-immunisation uptake for those in at-risk groups between 2003-2004 and 2006-2007 were measured, and variation in uptake examined using multilevel modelling.
resultsUptake rose from 67.9% in 2003-2004 to 71.4% in 2006-2007. The largest increases were seen in those aged <65 years with chronic disease, with uptake rising from 49.6% to 58.4%, but rates remained considerably lower than in those aged ≥65 years. Differences between practices narrowed (median odds ratio [OR] for two patients randomly selected from different practices: 2.13 (95% confidence interval [CI] = 2.00 to 2.26) in 2003-2004 versus 1.44 (95% CI = 1.40 to 1.49) in 2006-2007. However, inequalities in uptake by patient socioeconomic status did not change: adjusted OR for most deprived versus most affluent was 0.75 (95% CI = 0.70 to 0.80) in 2003-2004 versus 0.72 (95% CI = 0.68 to 0.76) in 2006-2007.
conclusionOverall uptake rose significantly and differences between practices narrowed considerably. However, socioeconomic and age inequalities in influenza immunisation persisted in the first 3 years of the QOF. This contrasts with other ecological analyses, which have concluded that the QOF has reduced inequalities. The impact of financial incentives on inequalities is likely to vary, and some kinds of care may require more targeted improvement activity and support.
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