Family doctor responses to changes in incentives for influenza immunization under the U.K. Quality and Outcomes Framework pay-for-performance scheme.

ABSTRACT:

Objective

To analyze the effect of setting higher targets, in a primary care pay-for-performance scheme, on rates of influenza immunization and exception reporting.

Study setting

The U.K. Quality and Outcomes Framework links financial rewards for family practices to four separate influenza immunization rates for patients with coronary heart disease (CHD), chronic obstructive pulmonary disease, diabetes, and stroke. There is no additional payment for immunization rates above an upper threshold. Patients for whom immunization would be inappropriate can be excepted from the practice for the calculation of the practice immunization rate.

Data

Practice-level information on immunizations and exceptions extracted from electronic records of all practices in England 2004/05 to

SUBMITTER: Kontopantelis E 

PROVIDER: S-EPMC3423175 | biostudies-literature | 2012 Jun

REPOSITORIES: biostudies-literature