Investigating the impact of primary care payments on underdiagnosis in dementia: A difference-in-differences analysis.

ABSTRACT:

Objective

In England, two primary care incentive schemes were introduced to increase dementia diagnosis rates to two-thirds of expected levels. This study assesses the effectiveness of these schemes.

Methods

We used a difference-in-differences framework to analyse the individual and collective impacts of the incentive schemes: (1) Directed Enhanced Service 18 (DES18: facilitating timely diagnosis of and support for dementia) and (2) the Dementia Identification Scheme (DIS). The dataset included 7529 English general practices, of which 7142 were active throughout the 10-year study period (April 2006 to March 2016). We controlled for a range of factors, including a contemporaneous hospital incentive scheme for dementia. Our dependent variable was the percentage of expected cas

SUBMITTER: Mason A 

PROVIDER: S-EPMC6704384 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature