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Do the Quality and Outcomes Framework patient experience indicators reward practices that offer improved access?
Richard Baker1, M John Bankart, Ged M Murtagh
1Department of Health Sciences, University of Leicester, Leicester. rb14@le.ac.uk
Summary
The Quality and Outcomes Framework (QOF) patient experience indicators do not identify general practices that provide good patient access. Financial incentives tied to standard patient surveys may better reward practices offering improved access.
Area of Science:
- Primary Care Research
- Health Services Research
- Patient Experience Measurement
Background:
- The Quality and Outcomes Framework (QOF) in the UK includes patient experience indicators.
- Limited research exists on whether these QOF indicators reflect actual patient access to general practices.
Purpose of the Study:
- To assess if high QOF patient experience scores correlate with good patient access.
- To investigate the relationship between QOF achievement and patient-reported access in general practices.
Main Methods:
- Analysis of publicly available data from 224 East Midlands general practices.
- Utilized logistic regression and general linear models to test hypotheses.
- Examined associations between QOF points and patient access survey findings.
Main Results:
- No significant association found between QOF patient experience points and overall patient access.
- A positive correlation was observed only between QOF points and patient satisfaction with opening hours.
- QOF indicators did not identify practices with better appointment booking systems or other access measures.
Conclusions:
- Current QOF patient experience indicators do not effectively reward general practices for providing good patient access.
- Standardized patient surveys with financial incentives could be a more effective tool for identifying and incentivizing practices with superior patient access.
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