Association of practice size and pay-for-performance incentives with the quality of diabetes management in primary care.

ABSTRACT:

Background

Not enough is known about the association between practice size and clinical outcomes in primary care. We examined this association between 1997 and 2005, in addition to the impact of the Quality and Outcomes Framework, a pay-for-performance incentive scheme introduced in the United Kingdom in 2004, on diabetes management.

Methods

We conducted a retrospective open-cohort study using data from the General Practice Research Database. We enrolled 422 general practices providing care for 154,945 patients with diabetes. Our primary outcome measures were the achievement of national treatment targets for blood pressure, glycated hemoglobin (HbA(1c)) levels and total cholesterol.

Results

We saw improvements in the recording of process of care measures, prescribing

SUBMITTER: Vamos EP 

PROVIDER: S-EPMC3168664 | biostudies-literature | 2011 Sep

REPOSITORIES: biostudies-literature