Effect of pay-for-outcomes and encouraging new providers on national health service smoking cessation services in England: a cluster controlled study.

ABSTRACT:

Background

Payment incentives are known to influence healthcare but little is known about the impact of paying directly for achieved outcomes. In England, novel purchasing (commissioning) of National Health Service (NHS) stop smoking services, which paid providers for quits achieved whilst encouraging new market entrants, was implemented in eight localities (primary care trusts (PCTs)) in April 2010. This study examines the impact of the novel commissioning on these services.

Methods

Accredited providers were paid standard tariffs for each smoker who was supported to quit for four and 12 weeks. A cluster-controlled study design was used with the eight intervention PCTs (representing 2,138,947 adult population) matched with a control group of all other (n=64) PCTs with simila

SUBMITTER: McLeod H 

PROVIDER: S-EPMC4398496 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature