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Published on: June 11, 2012
Population intermediate outcomes of diabetes under pay-for-performance incentives in England from 2004 to 2008
Pooja Vaghela1, Mark Ashworth, Peter Schofield
1Department of Public Health Sciences, King's College London, London, UK.
Objective:
To evaluate diabetes outcomes under a national "pay-for-performance" program.
Research Design And Methods:
Data were analyzed for 98% of all English family practices. For each practice, the proportion of diabetic subjects with A1C
Results:
The proportion achieving the A1C target at the median practice increased from 59.1% (interquartile range [IQR] 51.7-65.9) in 2004-2005 to 66.7% (IQR 60.6-72.7) in 2007-2008, blood pressure from 70.9% in 2004-2005 to 80.2% in 2007-2008, and cholesterol from 72.6% in 2004-2005 to 83.6% in 2007-2008. In 2004-2005, 57% of practices were low performing (range by region 42.4-69.9). In 2007-2008, 26% of practices were low performing (range 11.6-37.5).
Conclusions:
Introduction of pay-for-performance may be one factor contributing to increasing achievement of targets and reducing problems of low performance.
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