The quality and outcomes framework reduces disparities in health outcomes for cardiovascular disease

Dunbar, James 2010, The quality and outcomes framework reduces disparities in health outcomes for cardiovascular disease, Journal of epidemiology and community health, Online First, pp. 1-2.

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Title The quality and outcomes framework reduces disparities in health outcomes for cardiovascular disease
Author(s) Dunbar, James
Journal name Journal of epidemiology and community health
Season Online First
Start page 1
End page 2
Publisher BMJ Publishing
Place of publication London, England
Publication date 2010-06-27
ISSN 0143-005X
1470-2738
Summary Jamie Robinson, the Berkeley health economist, famously remarked in 2001 that ‘the three worst ways to pay doctors are salary, capitation and fee-for-service.’ Different financial incentives produce different clinical and service outcomes, sometimes perversely.1 In 2004, the UK government introduced pay for performance (P4P) for general practitioners, the Quality and Outcomes Framework (QOF). Its introduction was associated with the general trend in the National Health Service away from placing implicit trust in doctors and more active monitoring of their performance. One-quarter of GP pay can be earned from achieving scores on 147 indicators.2 These indicators were acceptable to doctors because the majority are evidence-based clinical outcome measures for 10 chronic diseases. Others relate to patient access and satisfaction, and practice organisation.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C4.1 Letter or note
HERDC collection year 2010
Copyright notice ©2010, The Author
Persistent URL http://hdl.handle.net/10536/DRO/DU:30029460

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Created: Thu, 29 Jul 2010, 11:10:21 EST by Liz Jackway

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