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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: cold

309 codes in list

Code Coding system Description Entity type List name analysis
1656.00 Read Feverish cold diagnostic cold Main
171..00 Read Cough diagnostic cold Main
171..11 Read C/O - cough diagnostic cold Main
1712.00 Read Dry cough diagnostic cold Main
1713.00 Read Productive cough -clear sputum diagnostic cold Main
1714.00 Read Productive cough -green sputum diagnostic cold Main
1715.00 Read Productive cough-yellow sputum diagnostic cold Main
1716.00 Read Productive cough NOS diagnostic cold Main
1716.11 Read Coughing up phlegm diagnostic cold Main
1717.00 Read Night cough present diagnostic cold Sensitivity
1719.00 Read Chesty cough diagnostic cold Main
1719.11 Read Bronchial cough diagnostic cold Main
171A.00 Read Chronic cough diagnostic cold Main
171B.00 Read Persistent cough diagnostic cold Main
171C.00 Read Morning cough diagnostic cold Sensitivity
171D.00 Read Evening cough diagnostic cold Sensitivity
171E.00 Read Unexplained cough diagnostic cold Sensitivity
171F.00 Read Cough with fever diagnostic cold Main
171G.00 Read Bovine cough diagnostic cold Sensitivity
171H.00 Read Difficulty in coughing up sputum diagnostic cold Main
171J.00 Read Reflux cough diagnostic cold Main
171Z.00 Read Cough symptom NOS diagnostic cold Sensitivity
173B.00 Read Nocturnal cough / wheeze diagnostic cold Sensitivity
1C9..00 Read Sore throat symptom diagnostic cold Sensitivity
1C92.00 Read Has a sore throat diagnostic cold Main
1C93.00 Read Persistent sore throat diagnostic cold Main
1C9Z.00 Read Sore throat symptom NOS diagnostic cold Sensitivity
2DB6.00 Read O/E - follicular tonsillitis diagnostic cold Main
A34..00 Read Streptococcal sore throat and scarlatina diagnostic cold Main
A340.00 Read Streptococcal sore throat diagnostic cold Main
A340000 Read Streptococcal angina diagnostic cold Main
A340100 Read Streptococcal laryngitis diagnostic cold Main
A340200 Read Streptococcal pharyngitis diagnostic cold Main
A340300 Read Streptococcal tonsillitis diagnostic cold Main
A340z00 Read Streptococcal sore throat NOS diagnostic cold Main
A341.00 Read Scarlet fever - scarlatina diagnostic cold Main
A341.11 Read Scarlet fever diagnostic cold Main
A341.12 Read Scarlatina diagnostic cold Main
A34z.00 Read Streptococcal sore throat with scarlatina NOS diagnostic cold Main
A383000 Read Fusobacterial necrotising tonsillitis diagnostic cold Main
A552.00 Read Postmeasles otitis media diagnostic cold Main
A793.00 Read Rhinovirus diagnostic cold Main
AA1z.12 Read Vincent's tonsillitis diagnostic cold Main
F51..00 Read Nonsuppurative otitis media + eustachian tube disorders diagnostic cold Main
F510.00 Read Acute non suppurative otitis media diagnostic cold Main
F510000 Read Acute otitis media with effusion diagnostic cold Main
F510011 Read Acute secretory otitis media diagnostic cold Main
F510100 Read Acute serous otitis media diagnostic cold Main
F510200 Read Acute mucoid otitis media diagnostic cold Main
F510300 Read Acute sanguinous otitis media diagnostic cold Main
F510400 Read Acute allergic serous otitis media diagnostic cold Main
F510500 Read Acute allergic mucoid otitis media diagnostic cold Main
F510600 Read Acute allergic sanguinous otitis media diagnostic cold Main
F510z00 Read Acute nonsuppurative otitis media NOS diagnostic cold Main
F511.00 Read Chronic otitis media with effusion; serous diagnostic cold Main
F511100 Read Serosanguinous chronic otitis media diagnostic cold Main
F511.11 Read Chronic secretory otitis media; serous diagnostic cold Main
F511z00 Read Chronic serous otitis media NOS diagnostic cold Main
F512.00 Read Chronic otitis media with effusion; mucoid diagnostic cold Main
F512100 Read Mucosanguinous chronic otitis media diagnostic cold Main
F512.12 Read Chronic secretory otitis media; mucoid diagnostic cold Main
F512z00 Read Chronic mucoid otitis media NOS diagnostic cold Main
F513.00 Read Chronic otitis media with effusion; other diagnostic cold Main
F513000 Read Chronic allergic otitis media diagnostic cold Main
F513100 Read Chronic otitis media with effusion; purulent diagnostic cold Main
F513111 Read Chronic secretory otitis media; purulent diagnostic cold Main
F513z00 Read Other chronic nonsuppurative otitis media NOS diagnostic cold Main
F514.00 Read Unspecified nonsuppurative otitis media diagnostic cold Main
F514000 Read Allergic otitis media NOS diagnostic cold Main
F514100 Read Serous otitis media NOS diagnostic cold Main
F514200 Read Catarrhal otitis media NOS diagnostic cold Main
F514300 Read Mucoid otitis media NOS diagnostic cold Main
F514z00 Read Nonsuppurative otitis media NOS diagnostic cold Main
F518.00 Read Chronic otitis media with effusion; unspecified diagnostic cold Main
F52..00 Read Suppurative and unspecified otitis media diagnostic cold Main
F520.00 Read Acute suppurative otitis media diagnostic cold Main
F520000 Read Acute suppurative otitis media tympanic membrane intact diagnostic cold Main
F520100 Read Acute suppurative otitis media tympanic membrane ruptured diagnostic cold Main
F520300 Read Acute suppurative otitis media due to disease EC diagnostic cold Main
F520z00 Read Acute suppurative otitis media NOS diagnostic cold Main
F521.00 Read Chronic suppurative otitis media; tubotympanic diagnostic cold Main
F522.00 Read Chronic suppurative otitis media; atticoantral diagnostic cold Main
F523.00 Read Chronic suppurative otitis media NOS diagnostic cold Main
F524.00 Read Purulent otitis media NOS diagnostic cold Main
F524000 Read Bilateral suppurative otitis media diagnostic cold Main
F525.00 Read Recurrent acute otitis media diagnostic cold Main
F526.00 Read Acute left otitis media diagnostic cold Main
F527.00 Read Acute right otitis media diagnostic cold Main
f528.00 Read Acute bilateral otitis media diagnostic cold Main
F528.00 Read Acute bilateral otitis media diagnostic cold Main
F52z.00 Read Otitis media NOS diagnostic cold Main
FyuP000 Read [X]Other acute nonsuppurative otitis media diagnostic cold Main
FyuP100 Read [X]Other chronic nonsuppurative otitis media diagnostic cold Main
FyuP200 Read [X]Other chronic suppurative otitis media diagnostic cold Main
FyuP300 Read [X]Otitis media in bacterial diseases classified elsewhere diagnostic cold Main
FyuP400 Read [X]Otitis media in viral diseases classified elsewhere diagnostic cold Main
FyuP500 Read [X]Otitis media in other diseases classified elsewhere diagnostic cold Main
H00..00 Read Acute nasopharyngitis diagnostic cold Main
H00..11 Read Common cold diagnostic cold Main
H00..12 Read Coryza - acute diagnostic cold Main
H00..13 Read Febrile cold diagnostic cold Main
H00..14 Read Nasal catarrh - acute diagnostic cold Main
H00..15 Read Pyrexial cold diagnostic cold Main
H00..16 Read Rhinitis - acute diagnostic cold Main
H01..00 Read Acute sinusitis diagnostic cold Main
H010.00 Read Acute maxillary sinusitis diagnostic cold Main
H010.11 Read Antritis - acute diagnostic cold Main
H011.00 Read Acute frontal sinusitis diagnostic cold Main
H01..11 Read Sinusitis diagnostic cold Main
H012.00 Read Acute ethmoidal sinusitis diagnostic cold Main
H013.00 Read Acute sphenoidal sinusitis diagnostic cold Main
H01y.00 Read Other acute sinusitis diagnostic cold Main
H01y000 Read Acute pansinusitis diagnostic cold Main
H01yz00 Read Other acute sinusitis NOS diagnostic cold Main
H01z.00 Read Acute sinusitis NOS diagnostic cold Main
H02..00 Read Acute pharyngitis diagnostic cold Main
H020.00 Read Acute gangrenous pharyngitis diagnostic cold Main
H021.00 Read Acute phlegmonous pharyngitis diagnostic cold Main
H02..11 Read Sore throat NOS diagnostic cold Main
H02..12 Read Viral sore throat NOS diagnostic cold Main
H02..13 Read Throat infection - pharyngitis diagnostic cold Main
H022.00 Read Acute ulcerative pharyngitis diagnostic cold Main
H023.00 Read Acute bacterial pharyngitis diagnostic cold Main
H023000 Read Acute pneumococcal pharyngitis diagnostic cold Main
H023100 Read Acute staphylococcal pharyngitis diagnostic cold Main
H023z00 Read Acute bacterial pharyngitis NOS diagnostic cold Main
H024.00 Read Acute viral pharyngitis diagnostic cold Main
H025.00 Read Allergic pharyngitis diagnostic cold Main
H02z.00 Read Acute pharyngitis NOS diagnostic cold Main
h03..00 Read Acute tonsillitis diagnostic cold Main
H03..00 Read Acute tonsillitis diagnostic cold Main
H030.00 Read Acute erythematous tonsillitis diagnostic cold Main
H031.00 Read Acute follicular tonsillitis diagnostic cold Main
H03..11 Read Throat infection - tonsillitis diagnostic cold Main
H03..12 Read Tonsillitis diagnostic cold Main
H032.00 Read Acute ulcerative tonsillitis diagnostic cold Main
H033.00 Read Acute catarrhal tonsillitis diagnostic cold Main
H034.00 Read Acute gangrenous tonsillitis diagnostic cold Main
H035.00 Read Acute bacterial tonsillitis diagnostic cold Main
H035000 Read Acute pneumococcal tonsillitis diagnostic cold Main
H035100 Read Acute staphylococcal tonsillitis diagnostic cold Main
H035z00 Read Acute bacterial tonsillitis NOS diagnostic cold Main
H036.00 Read Acute viral tonsillitis diagnostic cold Main
H037.00 Read Recurrent acute tonsillitis diagnostic cold Main
H03z.00 Read Acute tonsillitis NOS diagnostic cold Main
H04..00 Read Acute laryngitis and tracheitis diagnostic cold Main
H040.00 Read Acute laryngitis diagnostic cold Main
H040000 Read Acute oedematous laryngitis diagnostic cold Main
H040100 Read Acute ulcerative laryngitis diagnostic cold Main
H040200 Read Acute catarrhal laryngitis diagnostic cold Main
H040300 Read Acute phlegmonous laryngitis diagnostic cold Main
H040400 Read Acute haemophilus influenzae laryngitis diagnostic cold Main
H040500 Read Acute pneumococcal laryngitis diagnostic cold Main
H040600 Read Acute suppurative laryngitis diagnostic cold Main
H040w00 Read Acute viral laryngitis unspecified diagnostic cold Main
H040x00 Read Acute bacterial laryngitis unspecified diagnostic cold Main
H040z00 Read Acute laryngitis NOS diagnostic cold Main
H041.00 Read Acute tracheitis diagnostic cold Main
H041000 Read Acute tracheitis without obstruction diagnostic cold Main
H041100 Read Acute tracheitis with obstruction diagnostic cold Main
H041z00 Read Acute tracheitis NOS diagnostic cold Main
H042.00 Read Acute laryngotracheitis diagnostic cold Main
H042000 Read Acute laryngotracheitis without obstruction diagnostic cold Main
H042100 Read Acute laryngotracheitis with obstruction diagnostic cold Main
H042.11 Read Laryngotracheitis diagnostic cold Main
H042z00 Read Acute laryngotracheitis NOS diagnostic cold Main
H043.00 Read Acute epiglottitis (non strep) diagnostic cold Main
H043000 Read Acute epiglottitis without obstruction diagnostic cold Main
H043100 Read Acute epiglottitis with obstruction diagnostic cold Main
H043.11 Read Viral epiglottitis diagnostic cold Main
H043200 Read Acute obstructive laryngitis diagnostic cold Main
H043211 Read Croup diagnostic cold Main
H043z00 Read Acute epiglottitis NOS diagnostic cold Main
H044.00 Read Croup diagnostic cold Main
H04z.00 Read Acute laryngitis and tracheitis NOS diagnostic cold Main
H05..00 Read Other acute upper respiratory infections diagnostic cold Main
H050.00 Read Acute laryngopharyngitis diagnostic cold Main
H051.00 Read Acute upper respiratory tract infection diagnostic cold Main
H052.00 Read Pharyngotracheitis diagnostic cold Main
H053.00 Read Tracheopharyngitis diagnostic cold Main
H054.00 Read Recurrent upper respiratory tract infection diagnostic cold Main
H055.00 Read Pharyngolaryngitis diagnostic cold Main
H05y.00 Read Other upper respiratory infections of multiple sites diagnostic cold Main
H05z.00 Read Upper respiratory infection NOS diagnostic cold Main
H05z.11 Read Upper respiratory tract infection NOS diagnostic cold Main
H05z.12 Read Viral upper respiratory tract infection NOS diagnostic cold Main
H06..00 Read Acute bronchitis and bronchiolitis diagnostic cold Main
h060.00 Read Acute bronchitis diagnostic cold Main
H060.00 Read Acute bronchitis diagnostic cold Main
H060000 Read Acute fibrinous bronchitis diagnostic cold Main
H060100 Read Acute membranous bronchitis diagnostic cold Main
H060.11 Read Acute wheezy bronchitis diagnostic cold Main
H060200 Read Acute pseudomembranous bronchitis diagnostic cold Main
H060300 Read Acute purulent bronchitis diagnostic cold Main
H060400 Read Acute croupous bronchitis diagnostic cold Main
H060500 Read Acute tracheobronchitis diagnostic cold Main
H060600 Read Acute pneumococcal bronchitis diagnostic cold Main
H060700 Read Acute streptococcal bronchitis diagnostic cold Main
H060800 Read Acute haemophilus influenzae bronchitis diagnostic cold Main
H060900 Read Acute neisseria catarrhalis bronchitis diagnostic cold Main
H060A00 Read Acute bronchitis due to mycoplasma pneumoniae diagnostic cold Main
H060B00 Read Acute bronchitis due to coxsackievirus diagnostic cold Main
H060C00 Read Acute bronchitis due to parainfluenza virus diagnostic cold Main
H060D00 Read Acute bronchitis due to respiratory syncytial virus diagnostic cold Main
H060E00 Read Acute bronchitis due to rhinovirus diagnostic cold Main
H060F00 Read Acute bronchitis due to echovirus diagnostic cold Main
H060v00 Read Subacute bronchitis unspecified diagnostic cold Main
H060w00 Read Acute viral bronchitis unspecified diagnostic cold Main
H060x00 Read Acute bacterial bronchitis unspecified diagnostic cold Main
H060z00 Read Acute bronchitis NOS diagnostic cold Main
H06z.00 Read Acute bronchitis or bronchiolitis NOS diagnostic cold Main
H07..00 Read Chest cold diagnostic cold Main
H140.00 Read Chronic tonsillitis diagnostic cold Sensitivity
H143.00 Read Chronic adenotonsillitis diagnostic cold Sensitivity
H14y500 Read Caseous tonsillitis diagnostic cold Main
H14y600 Read Lingular tonsillitis diagnostic cold Main
H300.00 Read Tracheobronchitis NOS diagnostic cold Sensitivity
H301.00 Read Laryngotracheobronchitis diagnostic cold Main
H302.00 Read Wheezy bronchitis diagnostic cold Sensitivity
Hyu0200 Read [X]Acute tonsillitis due to other specified organisms diagnostic cold Main
Hyu1000 Read [X]Acute bronchitis due to other specified organisms diagnostic cold Main
R062.00 Read [D]Cough diagnostic cold Main
R062000 Read [D]Cough syncope diagnostic cold Main
R064.00 Read [D]Abnormal sputum diagnostic cold Sensitivity
R064000 Read [D]Sputum abnormal - amount diagnostic cold Sensitivity
R064100 Read [D]Sputum abnormal - colour diagnostic cold Sensitivity
R064200 Read [D]Sputum abnormal - odour diagnostic cold Sensitivity
R064300 Read [D]Abnormal sputum - tenacious diagnostic cold Sensitivity
R064z00 Read [D]Abnormal sputum NOS diagnostic cold Sensitivity
S120A00 Read Cough fracture diagnostic cold Sensitivity
S127100 Read Cough fracture of ribs diagnostic cold Sensitivity
0340BT OXMIS STREPTOCOCCAL TONSILLITIS PROVEN diagnostic cold Main
0340T OXMIS TONSILLITIS STREPTOCOCCAL diagnostic cold Main
101 TN OXMIS VINCENT'S TONSILLITIS diagnostic cold Main
3810 OXMIS OTITIS MEDIA ACUTE diagnostic cold Main
3810AE OXMIS ABSCESS EAR diagnostic cold Main
3810ML OXMIS OTITIS MEDIA ACUTE LEFT diagnostic cold Main
3810MR OXMIS OTITIS MEDIA ACUTE RIGHT diagnostic cold Main
3810TP OXMIS OTITIS ACUTE SUPPURATIVE diagnostic cold Main
3811A OXMIS OTITIS MEDIA CHRONIC diagnostic cold Main
3811AR OXMIS RECURRENT OTITIS MEDIA diagnostic cold Main
3811AT OXMIS OTITIS MEDIA CATARRHAL diagnostic cold Main
3811D OXMIS OTITIS MEDIA CHRONIC SUPPURATIVE diagnostic cold Main
3811E OXMIS OTITIS MEDIA BILATERAL SUPPURATIVE diagnostic cold Main
3811TR OXMIS SECRETORY OTITIS MEDIA diagnostic cold Main
3819 OXMIS OTITIS MEDIA diagnostic cold Main
3819DC OXMIS EAR DISCHARGING diagnostic cold Main
3819E OXMIS OTITIS MEDIA BILATERAL diagnostic cold Main
3819MP OXMIS SUPPURATIVE OTITIS MEDIA diagnostic cold Main
3819MR OXMIS MYRINGITIS diagnostic cold Main
3819N OXMIS OTITIS diagnostic cold Main
3819NB OXMIS OTITIS CHRONIC SEROUS BILATERAL diagnostic cold Main
3819NC OXMIS OTITIS CHRONIC SEROUS UNILATERAL diagnostic cold Main
3819RH OXMIS OTORRHOEA diagnostic cold Main
3819TH OXMIS HAEMOTYMPANUM diagnostic cold Main
3819TM OXMIS TYMPANITIS diagnostic cold Main
3829 OXMIS OTITIS MEDIA WITH MASTOIDITIS diagnostic cold Main
460 A OXMIS COMMON COLD FEBRILE diagnostic cold Main
460 AB OXMIS COLD FEBRILE diagnostic cold Main
460 B OXMIS COMMON COLD NONFEBRILE diagnostic cold Main
460 BA OXMIS COLD NONFEBRILE diagnostic cold Main
460 D OXMIS COMMON COLD diagnostic cold Main
462 CT OXMIS SORE THROAT ACUTE diagnostic cold Main
463 OXMIS TONSILLITIS ACUTE diagnostic cold Main
463 A OXMIS TONSILLITIS diagnostic cold Main
463 AL OXMIS TONSILLITIS LINGUAL diagnostic cold Main
463 AP OXMIS PHARYNGO TONSILLITIS diagnostic cold Main
463 B OXMIS FOLLICULAR TONSILLITIS diagnostic cold Main
463 BC OXMIS TONSILLITIS BACTERIAL diagnostic cold Main
463 MP OXMIS TONSILS SYMPTOMS OF diagnostic cold Main
463 NF OXMIS INFLAMMATION TONSIL diagnostic cold Main
465 OXMIS URTI (UPPER RESPIRATORY TRACT INFECTION) diagnostic cold Main
466 BC OXMIS BRONCHITIS SUBACUTE diagnostic cold Main
466 C OXMIS BRONCHITIS ACUTE diagnostic cold Main
466 FB OXMIS BRONCHITIS FIBRINOUS ACUTE diagnostic cold Main
466 V OXMIS VIRAL BRONCHITIS diagnostic cold Main
472 A OXMIS INFLUENZAL BRONCHITIS diagnostic cold Main
490 CT OXMIS CATARRHAL BRONCHITIS diagnostic cold Main
490 LT OXMIS LARYNGOTRACHEOBRONCHITIS diagnostic cold Main
490 T OXMIS TRACHEOBRONCHITIS diagnostic cold Main
490 WH OXMIS WHEEZY BRONCHITIS diagnostic cold Main
491 AC OXMIS BRONCHITIS ACUTE ON CHRONIC diagnostic cold Main
500 B OXMIS TONSILLITIS RECURRENT diagnostic cold Sensitivity
500 CH OXMIS TONSILLITIS CHRONIC diagnostic cold Sensitivity
501 PD OXMIS PERITONSILLITIS diagnostic cold Main
7833A OXMIS COUGH diagnostic cold Main
7833AB OXMIS COUGH PAROXYSMAL diagnostic cold Main
7833AC OXMIS COUGH PAROXYSMAL WITH VOMITING diagnostic cold Main
7833AP OXMIS SPASMODIC COUGH diagnostic cold Main
7833AR OXMIS RECURRENT COUGH diagnostic cold Main
7833B OXMIS COUGH BRONCHIAL diagnostic cold Main
7833BA OXMIS PRODUCTIVE COUGH diagnostic cold Main
7833BC OXMIS COUGH CHESTY diagnostic cold Main
7833CD OXMIS DRY COUGH diagnostic cold Main
7833CH OXMIS COUGH CHRONIC diagnostic cold Main
7833DB OXMIS COUGH WORSE SUPINE diagnostic cold Main
7833DF OXMIS COUGH AFTER FEEDS diagnostic cold Main
7833DP OXMIS PAIN DUE COUGHING diagnostic cold Sensitivity
7833E OXMIS EVENING COUGH diagnostic cold Main
7833G OXMIS FEVER WITH COUGH diagnostic cold Main
7833HP OXMIS PAINFUL COUGH diagnostic cold Main
7833MN OXMIS MORNING COUGH diagnostic cold Sensitivity
7833N OXMIS NIGHT COUGH diagnostic cold Sensitivity
7833PE OXMIS COUGH PERSISTANT diagnostic cold Main
7833PH OXMIS PHLEGM COUGHING UP diagnostic cold Main
7833PT OXMIS COUGH WITH SPUTUM diagnostic cold Main
7834AC OXMIS COUGH WITH SPUTUM CLEAR diagnostic cold Main
7834AH OXMIS SPUTUM COUGHING UP diagnostic cold Main
791 CH OXMIS HEADACHE COUGH diagnostic cold Sensitivity

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