ClinicalCodes.org
An online clinical codes repository to improve validity and reproducibility of medical database research
Research article:
Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework
Reference:
Doran, Tim; Kontopantelis, Evangelos; Valderas, Jose M; Campbell, Stephen; Roland, Martin; Salisbury, Chris; Reeves, David(2011) Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework. British Medical Journal, doi: 10.1136/bmj.d3590
- Link to fulltext article
- Abstract
- Objective: To investigate whether the incentive scheme for UK general practitioners led them to neglect activities not included in the scheme. Design: Longitudinal analysis of achievement rates for 42 activities (23 included in incentive scheme, 19 not included) selected from 428 identified indicators of quality of care. Setting: 148 general practices in England (653 500 patients). Main outcome measures: Achievement rates projected from trends in the pre-incentive period (2000-1 to 2002-3) and actual rates in the first three years of the scheme (2004-5 to 2006-7). Results: Achievement rates improved for most indicators in the pre-incentive period. There were significant increases in the rate of improvement in the first year of the incentive scheme (2004-5) for 22 of the 23 incentivised indicators. Achievement for these indicators reached a plateau after 2004-5, but quality of care in 2006-7 remained higher than that predicted by pre-incentive trends for 14 incentivised indicators. There was no overall effect on the rate of improvement for non-incentivised indicators in the first year of the scheme, but by 2006-7 achievement rates were significantly below those predicted by pre-incentive trends. Conclusions: There were substantial improvements in quality for all indicators between 2001 and 2007. Improvements associated with financial incentives seem to have been achieved at the expense of small detrimental effects on aspects of care that were not incentivised.
- Author for correspondence
- Tim Doran
- Email for correspondence
- tim.doran@york.ac.uk
Code list: blood_sugar
64 codes in list
| Code | Coding system | Description | Entity type | List name | analysis | ||
|---|---|---|---|---|---|---|---|
| 44f..00 | Read | Serum glucose level | test | blood_sugar | Main | ||
| 44f3.00 | Read | 30 minute serum glucose level | test | blood_sugar | Sensitivity | ||
| 44f4.00 | Read | 60 minute serum glucose level | test | blood_sugar | Sensitivity | ||
| 44f5.00 | Read | 90 minute serum glucose level | test | blood_sugar | Sensitivity | ||
| 44f6.00 | Read | 120 minute serum glucose level | test | blood_sugar | Sensitivity | ||
| 44f7.00 | Read | 150 minute serum glucose level | test | blood_sugar | Sensitivity | ||
| 44T1.00 | Read | Random blood sugar | test | blood_sugar | Main | ||
| 44T1000 | Read | Random blood sugar normal | test | blood_sugar | Main | ||
| 44T1100 | Read | Random blood sugar low | test | blood_sugar | Main | ||
| 44T1200 | Read | Random blood sugar raised | test | blood_sugar | Main | ||
| 44T2.00 | Read | Fasting blood sugar | test | blood_sugar | Main | ||
| 44T3.00 | Read | 2 hours post food blood sugar | test | blood_sugar | Main | ||
| 44T3.11 | Read | Post prandial blood sugar | test | blood_sugar | Main | ||
| 44T4.00 | Read | Dip-stick blood sugar | test | blood_sugar | Main | ||
| 44T5.00 | Read | Laboratory blood sugar | test | blood_sugar | Main | ||
| 44T6.00 | Read | Lunch time blood sugar | test | blood_sugar | Main | ||
| 44T7.00 | Read | Supper time blood sugar | test | blood_sugar | Main | ||
| 44T8.00 | Read | Bedtime blood sugar | test | blood_sugar | Main | ||
| 44T9.00 | Read | Glucometer blood sugar | test | blood_sugar | Main | ||
| 44TE.00 | Read | 30 minute blood glucose level | test | blood_sugar | Sensitivity | ||
| 44TF.00 | Read | 60 minute blood glucose level | test | blood_sugar | Sensitivity | ||
| 44TG.00 | Read | 90 minute blood glucose level | test | blood_sugar | Sensitivity | ||
| 44TH.00 | Read | 120 minute blood glucose level | test | blood_sugar | Sensitivity | ||
| 44TI.00 | Read | 150 minute blood glucose level | test | blood_sugar | Sensitivity | ||
| 44TJ.00 | Read | Blood glucose level | test | blood_sugar | Main | ||
| 44TK.00 | Read | Fasting blood glucose level | test | blood_sugar | Main | ||
| 44TM.00 | Read | Blood glucose series | test | blood_sugar | Main | ||
| 44U..00 | Read | Blood glucose result | test | blood_sugar | Main | ||
| 44U1.00 | Read | Blood glucose 0-1.4 mmol/L | test | blood_sugar | Main | ||
| 44U..11 | Read | Blood sugar result | test | blood_sugar | Main | ||
| 44U2.00 | Read | Blood glucose 1.5-2.4 mmol/L | test | blood_sugar | Main | ||
| 44U3.00 | Read | Blood glucose 2.5-4.9 mmol/L | test | blood_sugar | Main | ||
| 44U4.00 | Read | Blood glucose 5-6.9 mmol/L | test | blood_sugar | Main | ||
| 44U5.00 | Read | Blood glucose 7-9.9 mmol/L | test | blood_sugar | Main | ||
| 44U6.00 | Read | Blood glucose 10-13.9 mmol/L | test | blood_sugar | Main | ||
| 44U7.00 | Read | 2 hour post-prandial blood glucose level | test | blood_sugar | Main | ||
| 44U8.00 | Read | Blood glucose normal | test | blood_sugar | Main | ||
| 44U9.00 | Read | Blood glucose abnormal | test | blood_sugar | Main | ||
| 44Uz.00 | Read | Blood glucose raised NOS | test | blood_sugar | Main | ||
| 44UZ.00 | Read | Blood glucose 14+ mmol/L | test | blood_sugar | Main | ||
| 44V..00 | Read | Glucose tolerance test | test | blood_sugar | Sensitivity | ||
| 44V1.00 | Read | Glucose tolerance test normal | test | blood_sugar | Sensitivity | ||
| 44V..11 | Read | Blood glucose tolerance | test | blood_sugar | Sensitivity | ||
| 44V..12 | Read | Blood sugar tolerance | test | blood_sugar | Sensitivity | ||
| 44V6.00 | Read | Extended glucose tolerance test | test | blood_sugar | Sensitivity | ||
| 44VZ.00 | Read | Glucose tolerance test NOS | test | blood_sugar | Sensitivity | ||
| 7P17200 | Read | Glucose tolerance test | test | blood_sugar | Sensitivity | ||
| 8A17.00 | Read | Self monitoring of blood glucose | test | blood_sugar | Sensitivity | ||
| R102.00 | Read | [D]Glucose tolerance test abnormal | test | blood_sugar | Sensitivity | ||
| R102.12 | Read | [D]Impaired glucose tolerance test | test | blood_sugar | Sensitivity | ||
| R10D.00 | Read | [D]Elevated blood glucose level | test | blood_sugar | Main | ||
| L1300A | OXMIS | BLOOD GLUCOSE | test | blood_sugar | Main | ||
| L1300F | OXMIS | FASTING BLOOD SUGAR LEVEL | test | blood_sugar | Main | ||
| L1300H | OXMIS | RAISED BLOOD GLUCOSE LEVEL | test | blood_sugar | Main | ||
| L1300R | OXMIS | RANDOM BLOOD SUGAR LEVEL | test | blood_sugar | Main | ||
| L1300RA | OXMIS | RANDOM BLOOD SUGAR NORMAL | test | blood_sugar | Main | ||
| L1300RB | OXMIS | RANDOM BLOOD SUGAR RAISED | test | blood_sugar | Main | ||
| L1300RC | OXMIS | RANDOM BLOOD SUGAR LOW | test | blood_sugar | Main | ||
| L1300RV | OXMIS | RANDOM BLOOD SUGAR (VENOUS SAMPLE) | test | blood_sugar | Main | ||
| L1300RW | OXMIS | RANDOM BLOOD SUGAR NORMAL (VENOUS SAMPLE | test | blood_sugar | Main | ||
| L1300RX | OXMIS | RANDOM BLOOD SUGAR RAISED (VENOUS SAMPLE | test | blood_sugar | Main | ||
| L1300RY | OXMIS | RANDOM BLOOD SUGAR LOW (VENOUS SAMPLE) | test | blood_sugar | Main | ||
| L3300 | OXMIS | GLUCOSE TOLERANCE TEST | test | blood_sugar | Sensitivity | ||
| L3300NM | OXMIS | NORMAL GLUCOSE TOLERANCE TEST | test | blood_sugar | Sensitivity |
Please log in to leave a comment.
Code list links:
ClinicalCodes is a project at the University of Manchester Institute of Population Health
The ClinicalCodes project is funded by the National Institute for Health Research (NIHR) School for Primary Care Research (SPCR)