Related Experiment Video
Updated: Jun 7, 2025
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
General practice characteristics associated with pay-for-performance in the UK: a systematic review
Rhatica Srai1, David Cromwell1, Nicholas Mays1
1Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
The Quality and Outcomes Framework (QOF) pay-for-performance program in UK general practice shows associations between practice characteristics and performance. Some factors, like socioeconomic deprivation and older patient populations, are linked to lower QOF scores, raising equity concerns.
Area of Science:
- Health Services Research
- General Practice Management
- Healthcare Policy Analysis
Background:
- The Quality and Outcomes Framework (QOF) is a significant pay-for-performance initiative in UK general practice, influencing practice income since 2004.
- Concerns exist regarding the QOF's impact on equity within general practice.
Purpose of the Study:
- To identify practice characteristics associated with performance in the Quality and Outcomes Framework (QOF).
Main Methods:
- A systematic review of studies examining the relationship between general practice characteristics and QOF performance in the UK.
- Searches included MEDLINE, Embase, CINAHL+, Web of Science, and grey literature.
Main Results:
- Twenty-two studies (2006-2022) analyzed population and organizational characteristics against QOF measures.
- Negative associations were found between QOF performance and socioeconomic deprivation, older patient populations, larger list sizes, older GP mean age, and Alternative Provider Medical Services contracts.
- Group practices, higher full-time equivalent (FTE) GP numbers, and training practices were linked to better QOF performance.
Conclusions:
- Practice characteristics, both controllable and uncontrollable, influence QOF performance.
- Pay-for-performance schemes may disadvantage practices serving high-risk populations (older, deprived).
- Further research with updated data is needed to confirm and understand persistent relationships.
More Related Videos
00:07Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Related Concept Videos
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:11Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
01:18Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...