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| http://dx.doi.org/10.3399/bjgp18X697589 | DOI Listing |
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Evaluating and Comparing the Content Coverage of Quality Measure Sets from Israel, the United States, and the United Kingdom.
J Gen Intern Med
January 2025
Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Background: Quality of care can be measured in several dimensions: different clinical disciplines, structures/processes/outcomes of care (SPO), and also different domains of quality (effectiveness, safety, care coordination, patient-centeredness, efficiency, timeliness, and community/population health). To our knowledge, no previous study has compared different sets of performance measures in terms of how well they cover these different aspects of quality.
Objective: Compare the content coverage of major quality measure sets from Israel, the US, and the UK.
Advanced Nurse Practitioner (ANPs) experiences of the Quality and Outcomes Framework (QOF) Scheme: a UK case study.
BMJ Open
November 2024
Centre for Health Services Studies, University of Kent, Canterbury, UK.
Objectives: The primary focus of pay-for-performance (P4P) schemes in the UK has traditionally been related to the public health and inclusion elements related to the activities of doctors with comparatively less attention given to nursing care as a component of the scheme. However, nursing is an integral part of healthcare delivery in the National Health Service and nurses constitute the major group of healthcare professionals in most countries. Our aim was to explore advanced nurse practitioner (ANPs) experiences of the Quality and Outcomes Framework (QOF), using the Implicit Leadership Theory (ILT) frame.
View Article and Find Full Text PDFGeneral practice characteristics associated with pay-for-performance in the UK: a systematic review.
BJGP Open
November 2024
Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom
Background: The Quality and Outcomes Framework (QOF), a pay-for-performance programme, has been the most widespread quality initiative in National Health Service (NHS) general practice since 2004. It has contributed between 25% and 8% of practices' income during this time, but concerns about its effect on equity have been raised.
Aim: Understand which practice characteristics are associated with QOF performance.
Factors affecting prostate cancer detection through asymptomatic PSA testing in primary care in England: Evidence from the 2018 National Cancer Diagnosis Audit.
Br J Gen Pract
October 2024
Exeter collaboration of Academic Primary Care (APEx), University of Exeter
Article Synopsis
- Prostate-Specific Antigen (PSA) testing is utilized in primary care to identify prostate cancer, and this study focuses on how many cases are diagnosed through asymptomatic PSA screenings.
- An analysis of data from the 2018 English National Cancer Diagnosis Audit revealed that 19% of prostate cancer cases were detected via asymptomatic PSA testing, with a significant portion (52.1%) being patients aged 50-69 years.
- Factors such as younger age, non-White ethnicity, lower deprivation, and fewer co-morbidities were linked to a higher likelihood of asymptomatic PSA diagnoses, highlighting considerable variability among different GP practices.
Impact of COVID-19 on recorded blood pressure screening and hypertension management in England: an analysis of monthly changes in the quality and outcomes framework indicators in OpenSAFELY.
Open Heart
August 2024
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Article Synopsis
- The COVID-19 pandemic negatively impacted cardiovascular disease management in England, particularly affecting blood pressure screening and hypertension management.
- A study analyzed data from 25.2 million NHS patients, showing a decline in blood pressure screening from 90% in March 2019 to 85% in March 2023, while hypertension prevalence remained stable at about 15%.
- Treatment percentages for hypertension also dropped significantly during the pandemic, with patients aged ≤79 years treated to target falling from 71% to 47% and those aged ≥80 years from 85% to 58% before showing signs of recovery.
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