Evidence map›Paper›PMID 29675425›Full record

Observational studyBioMed research international2018

Improving the Recording of Diagnoses in Primary Care with Team Incentives: A Controlled Longitudinal Follow-Up Study.

Tuomo Lehtovuori, Timo Kauppila, Jouko Kallio, Anna M Heikkinen, Marko Raina, Lasse Suominen, Reijo Sund

Abstract readObservational Study
In one paragraph

Observational study in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Identifying proximal humerus fractures: an algorithmic approach using registers and radiological visit data.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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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

7 authors.

Tuomo LehtovuoriCity of Espoo, Administration of Primary Care, Espoo, Finland.
Timo KauppilaDepartment of General Practice and Primary Healthcare, University of Helsinki, P.O. Box 20, Tukholmankatu 8 B, 00014 Helsinki, Finland.ORCID 0000-0002-6155-0300
Jouko KallioCity of Espoo, Administration of Primary Care, Espoo, Finland.
Anna M HeikkinenDepartment of Oral and Maxillofacial Diseases, Institute of Dentistry, University of Helsinki, P.O. Box 41, 00014 Helsinki, Finland.
Marko RainaCity of Vantaa, Administration of Primary Care, Vantaa, Finland.
Lasse SuominenCity of Espoo, Administration of Primary Care, Espoo, Finland.
Reijo SundCentre for Research Methods, Department of Social Research, University of Helsinki, P.O. Box 18, Unioninkatu 35, 00014 Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe studied whether primary care teams respond to financial group bonuses by improving the recording of diagnoses, whether this intervention leads to diagnoses reflecting the anticipated distribution of diseases, and how the recording of a significant chronic disease, diabetes, alters after the application of these bonuses.

methodsWe performed an observational register-based retrospective quasi-experimental follow-up study with before-and-after setting and two control groups in primary healthcare of a Finnish town. We studied the rate of recorded diagnoses in visits to general practitioners with interrupted time series analysis. The distribution of these diagnoses was also recorded.

resultsAfter group bonuses, the rate of recording diagnoses increased by 17.9% (95% CI: 13.6-22.3) but not in either of the controls (-2.0 to -0.3%). The increase in the rate of recorded diagnoses in the care teams varied between 14.9% (4.7-25.2) and 33.7% (26.6-41.3). The distribution of recorded diagnoses resembled the respective distribution of diagnoses in the former studies of diagnoses made in primary care. The rate of recorded diagnoses of diabetes did not increase just after the intervention.

conclusionsIn primary care, the completeness of diagnosis recording can be, to varying degrees, influenced by group bonuses without guarantee that recording of clinically significant chronic diseases is improved.

Indexed as

Chronic DiseaseDiabetes MellitusFollow-Up StudiesHumansLongitudinal StudiesPatient Care TeamPrimary Health CareRetrospective Studies

Identifiers

PMID29675425
PMCPMC5838484

What OpenQuestion holds

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Registered trials

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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.