How QOF is shaping primary care review consultations: a longitudinal qualitative study.

ABSTRACT:

Background

Long-term conditions (LTCs) are increasingly important determinants of quality of life and healthcare costs in populations worldwide. The Chronic Care Model and the NHS and Social Care Long Term Conditions Model highlight the use of consultations where patients are invited to attend a consultation with a primary care clinician (practice nurse or GP) to complete a review of the management of the LTC. We report a qualitative study in which we focus on the ways in which QOF (Quality and Outcomes Framework) shapes routine review consultations, and highlight the tensions exposed between patient-centred consulting and QOF-informed LTC management.

Methods

A longitudinal qualitative study. We audio-recorded consultations of primary care practitioners with patients with LT

SUBMITTER: Chew-Graham CA 

PROVIDER: S-EPMC3726490 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature