Evidence map›Paper›PMID 29961043›Full record

Trial reportBMJ open2018

The impact of financial incentives to improve quality indicators in patients with diabetes in Swiss primary care: a protocol for a cluster randomised controlled trial.

Rahel Meier, Leander Muheim, Oliver Senn, Thomas Rosemann, Corinne Chmiel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Review
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

5 authors.

Rahel MeierInstitute of Primary Care, University of Zurich, Zurich, Switzerland.ORCID 0000-0001-8159-9753
Leander MuheimInstitute of Primary Care, University of Zurich, Zurich, Switzerland.
Oliver SennInstitute of Primary Care, University of Zurich, Zurich, Switzerland.
Thomas RosemannInstitute of Primary Care, University of Zurich, Zurich, Switzerland.
Corinne ChmielInstitute of Primary Care, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-5249-6592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is only limited and conflicting evidence on the effectiveness of Pay-for-Performance (P4P) programmes, although they might have the potential to improve guideline adherence and quality of care. We therefore aim to test a P4P intervention in Swiss primary care practices focusing on quality indicators (QI) achievement in the treatment of patients with diabetes. METHODS AND ANALYSIS: This is a cluster-randomised, two-armed intervention study with the primary care practice as unit of randomisation. The control group will receive bimonthly feedback reports containing last data of blood pressure and glycated haemoglobin (HbA1c) measurements. The intervention group will additionally be informed about a financial incentive for each percentage point improved in QI achievement. Primary outcomes are differences in process (measurement of HbA1c) and clinical QI (blood pressure control) between the two groups. Furthermore, we investigate the effect on non-incentivised QIs and on sustainability of the financial incentives. Swiss primary care practices participating in the FIRE (Family Medicine ICPC Research using Electronic Medical Record) research network are eligible for participation. The FIRE database consists of anonymised structured medical routine data from Swiss primary care practices. According to power calculations, 70 of the general practitioners contributing to the database will be randomised in either of the groups. ETHICS AND DISSEMINATION: According to the Local Ethics Committee of the Canton of Zurich, the project does not fall under the scope of the law on human research and therefore no ethical consent is necessary. Results will be published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: ISRCTN13305645; Pre-results.

Indexed as

Diabetes MellitusGuideline AdherencePrimary Health CareQuality of Health CareReimbursement, IncentiveCluster AnalysisHealth Services ResearchHumansPhysician Incentive PlansQuality Indicators, Health CareResearch DesignSwitzerlanddiabetesfinancial incentivegeneral practicepay for performanceprimary carereimbursement

Identifiers

PMID29961043
PMCPMC6042619

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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.