Featured Research

from universities, journals, and other organizations

Primary care financial incentives cut heart disease deaths and admissions, UK study finds

Date:
September 7, 2010
Source:
BMJ-British Medical Journal
Summary:
Financial incentives in primary care cut heart disease deaths and hospital admissions, particularly among people from deprived areas, new research in the UK finds.

Financial incentives in primary care cut heart disease deaths and hospital admissions, particularly among people from deprived areas, finds research published online in the Journal of Epidemiology and Community Health.

Current evidence suggests that linking financial incentives to quality improvement has improved the overall quality of primary care in the UK, but so far there has been little evidence to suggest that better quality primary care actually improves health.

The authors base their findings on 8,345,353 patients registered in 2006/7 with 1531 general practices in London, a city with substantial health inequalities, including wide discrepancies in deaths from cardiovascular disease.

They used information on coronary heart disease indicators against which general practices are measured and financially rewarded, depending on their achievements, under an incentive scheme referred to as the Quality and Outcomes Framework or QOF for short.

They used the QOF data to devise a heart disease quality achievement score for the practice, adjusted for factors likely to unduly influence the results, and plotted this against associated hospital admissions and deaths among practice patients.

The analysis showed that, overall, practices with higher quality achievement scores had lower death rates and fewer hospital admissions for their heart disease patients, with the impact twice as great in deprived areas.

Each one point increase in score was associated with 4.28 fewer admissions per 100,000 of the population for practices in the most deprived areas and 2.11 fewer admissions for practices in areas of average deprivation.

Similarly, every one point increase in score was associated with 1.4 fewer heart disease deaths for practices in the most deprived areas. No such association was found for practices in affluent areas.

Differences in death rates for coronary heart disease account for around 20% of the difference in life expectancy between the most disadvantaged areas in the UK and the general population, say the authors.

And they conclude: "Population wide financial incentives have the potential to reduce inequalities in healthcare provision if designed appropriately."

"There is already evidence that the QOF incentive scheme has contributed to reduced inequalities in healthcare in the UK," they add. "Results from this study suggest that [the scheme] may have also contributed to reducing inequalities in health outcomes."


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. T. Kiran, A. Hutchings, I. A. Dhalla, C. Furlong, B. Jacobson. The association between quality of primary care, deprivation and cardiovascular outcomes: a cross-sectional study using data from the UK Quality and Outcomes Framework. Journal of Epidemiology & Community Health, 2010; DOI: 10.1136/jech.2009.098806

Cite This Page:

BMJ-British Medical Journal. "Primary care financial incentives cut heart disease deaths and admissions, UK study finds." ScienceDaily. ScienceDaily, 7 September 2010. <www.sciencedaily.com/releases/2010/09/100907104037.htm>.
BMJ-British Medical Journal. (2010, September 7). Primary care financial incentives cut heart disease deaths and admissions, UK study finds. ScienceDaily. Retrieved September 2, 2014 from www.sciencedaily.com/releases/2010/09/100907104037.htm
BMJ-British Medical Journal. "Primary care financial incentives cut heart disease deaths and admissions, UK study finds." ScienceDaily. www.sciencedaily.com/releases/2010/09/100907104037.htm (accessed September 2, 2014).

Share This




More Health & Medicine News

Tuesday, September 2, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Snack Attack: Study Says Action Movies Make You Snack More

Snack Attack: Study Says Action Movies Make You Snack More

Newsy (Sep. 2, 2014) You're more likely to gain weight while watching action flicks than you are watching other types of programming, says a new study published in JAMA. Video provided by Newsy
Powered by NewsLook.com
U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

Newsy (Sep. 2, 2014) The U.N. says the problem is two-fold — quarantine zones and travel restrictions are limiting the movement of both people and food. Video provided by Newsy
Powered by NewsLook.com
Doctors Fear They're Losing Battle Against Ebola

Doctors Fear They're Losing Battle Against Ebola

AP (Sep. 2, 2014) As a third American missionary is confirmed to have contracted Ebola in Liberia, doctors on the ground in West Africa fear they're losing the battle against the outbreak. (Sept. 2) Video provided by AP
Powered by NewsLook.com
Tech Giants Bet on 3D Headsets for Gaming, Healthcare

Tech Giants Bet on 3D Headsets for Gaming, Healthcare

AFP (Sep. 2, 2014) When Facebook acquired the virtual reality hardware developer Oculus VR in March for $2 billion, CEO Mark Zuckerberg hailed the firm's technology as "a new communication platform." Duration: 02:24 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins