| Titre : | Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study |
| Titre original: | Impact du paiement à la performance sur la prise en charge de l'hypertension et ses résultats au Royaume-Uni : étude sur des séries temporelles interrompues. |
| Auteurs : | B. SERUMAGA ; D. ROSS-DEGNAN ; A.J. AVERY |
| Type de document : | Article |
| Dans : | BRITISH MEDICAL JOURNAL (342, 01/01/2011) |
| Article en page(s) : | 7p., tabl., fig. |
| Note générale : | Référence : réf. bibl. |
| Langues: | Anglais |
| Catégories : |
[BDSP5] CANDES > SERIE TEMPORELLE [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Impact [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Performance [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Processus > Temps > Long terme [BDSP5] Géographie politique > Monde > Europe > Iles Britanniques > Royaume Uni [BDSP5] Méthode épidémiologique > Enquête épidémiologique > Enquête cohorte [BDSP5] Pathologie > Appareil circulatoire [pathologie] > Hypertension artérielle [BDSP5] Pathologie > Maladie chronique [BDSP5] Sciences économiques > Concept économique > Financement > Paiement [BDSP5] Soins > Qualité soins [BDSP5] Thérapeutique |
| Résumé : | The impacts of pay for performance on the quality and outcomes of care for common chronic conditions such as hypertension are largely unknown. The prevalence of hypertension among those over age 50 is about 50%; hypertension is among the most treatable, but undertreated, of cardiovascular risk factors. Studies indicate consistently that one third of people with a known diagnosis of hypertension are either untreated or uncontrolled. 67 Better control of hypertension on a population-wide basis could yield substantial reductions in morbidity and premature mortality, 68 and this also makes it an attractive target for pay for performance. We studied a large scale pay for performance policy in the four countries of the United Kingdom (England, Scotland, Wales, and Northern Ireland), which targeted several chronic diseases in primary care, and evaluated its impact on the management and outcomes of hypertension. Based on the proportion of patients achieving certain quality indicators, general practitioners could receive payments as high as 25% of their total income. |
| En ligne : | http://www.bmj.com/content/342/bmj.d108.full.pdf |