Quality incentives: the case of U.K. general practitioners
- PMID: 15160809
- DOI: 10.1377/hlthaff.23.3.112
Quality incentives: the case of U.K. general practitioners
Abstract
The United Kingdom is implementing major changes to the national contract for general practitioners (GPs). A central plank of the new arrangements is an ambitious scheme to reward high-quality care. Each general practice will be scored on 146 performance indicators according to the measured quality of care it delivers, and its accumulated score will determine the magnitude of the quality payment it receives. About 18 percent of practice earnings will be at risk. This paper describes the incentive scheme, discusses its potential benefits and risks, and draws out the implications for evaluation.
Comment in
-
U.K. quality incentives.Health Aff (Millwood). 2004 Jul-Aug;23(4):282. doi: 10.1377/hlthaff.23.4.282. Health Aff (Millwood). 2004. PMID: 15318588 No abstract available.
Similar articles
-
Incentive payments are not related to expected health gain in the pay for performance scheme for UK primary care: cross-sectional analysis.BMC Health Serv Res. 2012 Apr 16;12:94. doi: 10.1186/1472-6963-12-94. BMC Health Serv Res. 2012. PMID: 22507660 Free PMC article.
-
Pay-for-performance programs in family practices in the United Kingdom.N Engl J Med. 2006 Jul 27;355(4):375-84. doi: 10.1056/NEJMsa055505. N Engl J Med. 2006. PMID: 16870916
-
Will changes in primary care improve health outcomes? Modelling the impact of financial incentives introduced to improve quality of care in the UK.Qual Saf Health Care. 2004 Jun;13(3):191-7. doi: 10.1136/qhc.13.3.191. Qual Saf Health Care. 2004. PMID: 15175489 Free PMC article.
-
Assessing the influence of incentives on physicians and medical groups.Med Care Res Rev. 2004 Sep;61(3 Suppl):80S-118S. doi: 10.1177/1077558704267507. Med Care Res Rev. 2004. PMID: 15375286 Review.
-
Paying for performance in diagnostic imaging: current challenges and future prospects.J Am Coll Radiol. 2004 Dec;1(12):952-6. doi: 10.1016/j.jacr.2004.07.001. J Am Coll Radiol. 2004. PMID: 17411737 Review.
Cited by
-
Report on financing the new model of family medicine.Ann Fam Med. 2004 Dec 2;2 Suppl 3(Suppl 3):S1-21. doi: 10.1370/afm.237. Ann Fam Med. 2004. PMID: 15654084 Free PMC article.
-
Designing and using incentives to support recruitment and retention in clinical trials: a scoping review and a checklist for design.Trials. 2019 Nov 9;20(1):624. doi: 10.1186/s13063-019-3710-z. Trials. 2019. PMID: 31706324 Free PMC article.
-
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.Lancet. 2017 Sep 16;390(10100):1345-1422. doi: 10.1016/S0140-6736(17)32366-8. Lancet. 2017. PMID: 28919119 Free PMC article.
-
A 2020 vision of patient-centered primary care.J Gen Intern Med. 2005 Oct;20(10):953-7. doi: 10.1111/j.1525-1497.2005.0178.x. J Gen Intern Med. 2005. PMID: 16191145 Free PMC article.
-
Recent national and regional drug reforms in Sweden: implications for pharmaceutical companies in Europe.Pharmacoeconomics. 2008;26(7):537-50. doi: 10.2165/00019053-200826070-00001. Pharmacoeconomics. 2008. PMID: 18563945 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources