ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Impact of primary care funding on secondary care utilisation and patient outcomes: a retrospective cross-sectional study of English general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- The impact of primary care funding on health inequalities: an umbrella review.Primary health care research & development · 2025Pooled it
- Evaluating the impact of capitation funding top-up payments in primary care.BMC primary care · 2026Observational
- Strategies to Strengthen Iraq's Primary Healthcare System: A Systematic Literature Review With Special Focus on Society 5.0.Public health challenges · 2025Review
- General practice characteristics associated with pay-for-performance in the UK: a systematic review.BJGP open · 2025Article
- Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries.International journal of environmental research and public health · 2022Article
- Mainstreaming adult ADHD into primary care in the UK: guidance, practice, and best practice recommendations.BMC psychiatry · 2022Article
- Associations between general practice characteristics and chest X-ray rate: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Observational
- The Quality of Medical Care in the Conditions of the COVID-19 Pandemic, with Particular Emphasis on the Access to Primary Healthcare and the Effectiveness of Treatment in Poland.Journal of clinical medicine · 2021Article
- The Impact of COVID-19 on the Performance of Primary Health Care Service Providers in a Capitation Payment System: A Case Study from Poland.International journal of environmental research and public health · 2021Article
- Primary care funding entrenches health inequalities: time for a rethink.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Impact of primary care funding on patient satisfaction: a retrospective longitudinal study of English general practice, 2013-2016.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study.BMJ open · 2019Article
- An analysis of childhood consultations in general practice: a multi-practice study.Irish journal of medical science · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundIn international studies, greater investment in primary health care is associated with improved population health outcomes.
aimTo determine whether investment in general practice is associated with secondary care utilisation, patient satisfaction, and clinical outcomes. DESIGN AND
settingRetrospective cross-sectional study of general practices in England, 2014-2015.
methodPractice-level data were stratified into three groups according to GP contract type: national General Medical Services (GMS) contracts, with or without the capitation supplement (mean practice income guarantee), or local Personal Medical Services (PMS) contracts. Regression models were used to explore associations between practice funding (capitation payments and capitation supplements) and secondary care usage, patient satisfaction (general practice patient survey scores), and clinical outcomes (Quality and Outcomes Framework [QOF] scores). The authors conducted financial modelling to predict secondary care cost savings associated with notional changes in primary care funding.
resultsMean capitation payments per patient were £69.82 in GMS practices in receipt of capitation supplements (
conclusionCapitation payments appear to be broadly aligned to patient need in terms of secondary care usage. Supplements to the current capitation formula are associated with reduced secondary care costs.
Indexed as
Identifiers
What OpenQuestion holds
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.