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Population Intermediate Outcomes of Diabetes Under Pay-for-Performance Incentives in England From 2004 to 2008.
- Source :
-
Diabetes Care . Mar2009, Vol. 32 Issue 3, p427-429. 3p. 1 Chart. - Publication Year :
- 2009
-
Abstract
- 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 ≤7.5%, blood pressure ≤ 145/85 mmHg, and cholesterol ≤ 5 mmol/l was determined. Practices achieving less than the 25th centile for the A1C target for 2006-2007 were classified as low performing. 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIABETES
*PEOPLE with diabetes
*BLOOD pressure
*CHOLESTEROL
Subjects
Details
- Language :
- English
- ISSN :
- 01495992
- Volume :
- 32
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Diabetes Care
- Publication Type :
- Academic Journal
- Accession number :
- 37265258
- Full Text :
- https://doi.org/10.2337/dc08-1999