Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study.

ABSTRACT:

Objective

To assess the impact of a pay for performance incentive on quality of care and outcomes among UK patients with hypertension in primary care.

Design

Interrupted time series.

Setting

The Health Improvement Network (THIN) database, United Kingdom.

Participants

470 725 patients with hypertension diagnosed between January 2000 and August 2007.

Intervention

The UK pay for performance incentive (the Quality and Outcomes Framework), which was implemented in April 2004 and included specific targets for general practitioners to show high quality care for patients with hypertension (and other diseases).

Main outcome measures

Centiles of systolic and diastolic blood pressures over time, rates of blood pressure monitoring, blood pressure control, and

SUBMITTER: Serumaga B 

PROVIDER: S-EPMC3026849 | biostudies-literature | 2011 Jan

REPOSITORIES: biostudies-literature