Workload and reward in the Quality and Outcomes Framework of the 2004 general practice contract.

ABSTRACT:

Background

The Quality and Outcomes Framework (QOF) of the 2004 UK General Medical Services (GMS) contract links up to 20% of practice income to performance measured against 146 quality indicators.

Aim

To examine the distribution of workload and payment in the clinical domains of the QOF, and to compare payment based on true prevalence to the implemented system applying an adjusted prevalence factor. We aimed also to assess the performance of the implemented payment system against its three stated objectives: to reduce variation in payment compared to a system based on true prevalence, to fairly link reward to workload, and finally, to help tackle health inequalities.

Design of study

Retrospective analysis of publicly available QOF data.

Setting

Nine hundred an

SUBMITTER: Guthrie B 

PROVIDER: S-EPMC1927091 | biostudies-literature | 2006 Nov

REPOSITORIES: biostudies-literature