Ethnic disparities in diabetes management and pay-for-performance in the UK: The Wandsworth prospective diabetes study
Ethnic disparities in diabetes management and pay-for-performance in the UK: The Wandsworth prospective diabetes study
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DOI：
10.1371/journal.pmed.0040191
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发表时间：
2007-06-01
期刊：
影响因子：
15.8
通讯作者：
Majeed, Azeem
中科院分区：
文献类型：
--
作者：
Millett, Christopher;Gray, Jeremy;Majeed, Azeem
背景绩效工资奖励医疗服务提供者，如果他们成功实现了绩效目标，就会向他们支付更多报酬。英国的一项新的全科医生合同代表着在任何医疗保健系统中向按绩效支付工资的最激进的转变。该合同为解决族裔和社会经济群体之间在慢性病管理方面的差异提供了一个重要机会。在2004年4月引入新合同之前和之后，我们检查了初级保健中多种族人群在糖尿病患者管理和中间临床结果方面的差异。方法和结果我们利用电子全科医疗记录，在伦敦西南部一个种族多元化的地区进行了一项基于人群的纵向调查。结果衡量标准是规定国民待遇目标的水平和实现情况(HBA(1c))
Background Pay-for-performance rewards health-care providers by paying them more if they succeed in meeting performance targets. A new contract for general practitioners in the United Kingdom represents the most radical shift towards pay-for-performance seen in any health-care system. The contract provides an important opportunity to address disparities in chronic disease management between ethnic and socioeconomic groups. We examined disparities in management of people with diabetes and intermediate clinical outcomes within a multiethnic population in primary care before and after the introduction of the new contract in April 2004.Methods and Findings We conducted a population-based longitudinal survey, using electronic general practice records, in an ethnically diverse part of southwest London. Outcome measures were prescribing levels and achievement of national treatment targets (HbA(1c)