Code list: serum

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: serum_creatine

13 codes in list

Code	Coding system	Description	Entity type	List name	QOF	analysis
44J3.00	Read	Serum creatinine	test	serum_creatine	1	Main
44J3000	Read	Serum creatinine abnormal	test	serum_creatine	1	Main
44J3100	Read	Serum creatinine low	test	serum_creatine	1	Main
44J3200	Read	Serum creatinine normal	test	serum_creatine	1	Main
44J3300	Read	Serum creatinine raised	test	serum_creatine	1	Main
44J3z00	Read	Serum creatinine NOS	test	serum_creatine	1	Main
44JC.00	Read	Corrected plasma creatinine level	test	serum_creatine	1	Main
44JD.00	Read	Corrected serum creatinine level	test	serum_creatine	1	Main
44JF.00	Read	Plasma creatinine level	test	serum_creatine	1	Main
451E.00	Read	GFR calculated abbreviated MDRD	test	serum_creatine	1	Main
451F.00	Read	Glomerular filtration rate	test	serum_creatine	1	Main
451G.00	Read	GFR calculated abbreviated MDRD adj for African Americ orign	test	serum_creatine	1	Main
7P14000	Read	Glomerular filtration rate testing	test	serum_creatine	0	Sensitivity

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