Exempting dissenting patients from pay for performance schemes: retrospective analysis of exception reporting in the UK Quality and Outcomes Framework.

ABSTRACT:

Objective

To examine the reasons why practices exempt patients from the UK Quality and Outcomes Framework pay for performance scheme (exception reporting) and to identify the characteristics of general practices associated with informed dissent.

Design

Retrospective analysis.

Setting

Data for 2008-9 extracted from the clinical computing systems of general practices in England.

Participants

8229 English family practices.

Main outcome measures

Rates of exception reporting for 37 clinical quality indicators, associations of patient and general practice factors with exception rates, and financial gain for practices relating to their use of exception reporting.

Results

The median rate of exception reporting was 2.7% (interquartile range 1.9-3.9%) overa

SUBMITTER: Doran T 

PROVIDER: S-EPMC3328418 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature