Financial incentives improve recognition but not treatment of cardiovascular risk factors in severe mental illness.

ABSTRACT:

Objectives

Severe mental illness (SMI) is associated with premature cardiovascular disease, prompting the UK primary care payment-for-performance system (Quality and Outcomes Framework, QOF) to incentivise annual physical health reviews. This study aimed to assess the QOF's impact on detection and treatment of cardiovascular risk factors in people with SMI.

Methods

A retrospective open cohort study of UK general practice was conducted between 1996 and 2014, using segmented logistic regression with 2004 and 2011 as break points, reflecting the introduction of relevant QOF incentives in these years. 67239 SMI cases and 359951 randomly-selected unmatched controls were extracted from the Clinical Practice Research Datalink (CPRD).

Results

There was strong evidence (p≤0.01

SUBMITTER: Wilson CL 

PROVIDER: S-EPMC5466340 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature