Impact of pay for performance on ethnic disparities in intermediate outcomes for diabetes: a longitudinal study.

ABSTRACT:

Objective

The purpose of this study was to examine the impact of a major pay for performance incentive on trends in the quality of diabetes care in white, black, and South Asian ethnic groups in an urban setting in the U.K.

Research design and methods

We developed longitudinal models examining the quality of diabetes care in a cohort of ethnically diverse patients in Southwest London using electronic family practice records. Outcome measures were mean blood pressure and A1C values between 2000 and 2005.

Results

The introduction of pay for performance was associated with reductions in mean systolic and diastolic blood pressure, which were significantly greater than those predicted by the underlying trend in the white (-5.8 and -4.2 mmHg), black (-2.5 and -2.4 mmHg), an

SUBMITTER: Millett C 

PROVIDER: S-EPMC2646017 | biostudies-literature | 2009 Mar

REPOSITORIES: biostudies-literature