The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study
Open accessAbstract
OBJECTIVE: To assess the impact of a pay for performance incentive on quality of care and outcomes among UK patients with hypertension in primary care. DESIGN: Interrupted time series. SETTING: The Health Improvement Network (THIN) database, United Kingdom. PARTICIPANTS: 470 725 patients with hypertension diagnosed between January 2000 and August 2007. INTERVENTION: The UK pay for performance incentive (the Quality and Outcomes Framework), which was implemented in April 2004 and included specific targets for general practitioners to show high quality care for patients with hypertension (and other diseases). MAIN OUTCOME MEASURES: Centiles of systolic and diastolic blood pressures over time, rates of blood pressure monitoring, blood pressure control, and treatment intensity at monthly intervals for baseline (48 months) and 36 months after the implementation of pay for performance. Cumulative incidence of major hypertension related outcomes and all cause mortality for subgroups of newly treated (treatment started six months before pay for performance) and treatment experienced (started treatment in year before January 2001) patients to examine different stages of illness. RESULTS: After accounting for secular trends, no changes in blood pressure monitoring (level change 0.85, 95% confidence interval -3.04 to 4.74, P=0.669 and trend change -0.01, -0.24 to 0.21, P=0.615), control (-1.19, -2.06 to 1.09, P=0.109 and -0.01, -0.06 to 0.03, P=0.569), or treatment intensity (0.67, -1.27 to 2.81, P=0.412 and 0.02, -0.23 to 0.19, P=0.706) were attributable to pay for performance. Pay for performance had no effect on the cumulative incidence of stroke, myocardial infarction, renal failure, heart failure, or all cause mortality in both treatment experienced and newly treated subgroups. CONCLUSIONS: Good quality of care for hypertension was stable or improving before pay for performance was introduced. Pay for performance had no discernible effects on processes of care or on hypertension related clinical outcomes. Generous financial incentives, as designed in the UK pay for performance policy, may not be sufficient to improve quality of care and outcomes for hypertension and other common chronic conditions.
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Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T., et al. (2003) · Hypertension · doi:10.1161/01.hyp.0000107251.49515.c2 · Cited by 13,271
Segmented regression analysis of interrupted time series studies in medication use research
Wagner, A. K., Soumerai, S. B., Zhang, F., & Ross-Degnan, D. (2002) · Journal of Clinical Pharmacy and Therapeutics · doi:10.1046/j.1365-2710.2002.00430.x · Cited by 3,279 · cited 1×
“We used interrupted time series analysis, a strong longitudinal quasi-experimental design, to evaluate the impact of the pay for performance initiative on the management and outcomes of hypertension.”
MethodSelf-citationCushman, W. C., Ford, C. E., Cutler, J. A., Margolis, K. L., Davis, B. R., Grimm, R. H., Black, H. R., Hamilton, B. P., Holland, J., Nwachuku, C., et al. (2002) · The Journal of Clinical Hypertension · doi:10.1111/j.1524-6175.2002.02045.x · Cited by 979
Eccles, M. (2002) · BMJ · doi:10.1136/bmj.325.7370.941 · Cited by 354 · cited 1×
“Given the unique nature of the UK National Health Service, the generalisability of our results to other settings is potentially limited. The NHS is a homogenous single payer health system that provides coverage for all UK residents. This is unlike the health systems in many other industrialised countries. It is possib…”
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Cited by
Mancia, G., Fagard, R., Narkiewicz, K., Redón, J., Zanchetti, A., Böhm, M., Christiaens, T., Cifkova, R., De Backer, G., Dominiczak, A., et al. (2013) · Journal of Hypertension · doi:10.1097/01.hjh.0000431740.32696.cc · Cited by 5,655
Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F., Grassi, G., Jordan, J., Poulter, N. R., Rodgers, A., et al. (2018) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2018.14 · Cited by 1,167
Zhou, B., Danaei, G., Stevens, G. A., Bixby, H., Taddei, C., Carrillo-Larco, R. M., Solomon, B., Riley, L. M., Di Cesare, M., Iurilli, M. L. C., et al. (2019) · The Lancet · doi:10.1016/s0140-6736(19)31145-6 · Cited by 544
Joffres, M., Falaschetti, E., Gillespie, C., Robitaille, C., Loustalot, F., Poulter, N., McAlister, F. A., Johansen, H., Baclic, O., & Campbell, N. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-003423 · Cited by 464
Mancia, G., Fagard, R., Narkiewicz, K., Redon, J., Zanchetti, A., Böhm, M., Christiaens, T., Cifkova, R., De Backer, G., Dominiczak, A., et al. (2013) · Blood Pressure · doi:10.3109/08037051.2013.812549 · Cited by 426
Metadata
- Authors
- Serumaga, B., Ross-Degnan, D., Avery, A. J., Elliott, R. A., Majumdar, S. R., Zhang, F., & Soumerai, S. B.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2011-01-25
- Volume
- 342
- Issue
- jan25 3
- Pages
- d108-d108
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W1993884221
- Cited by
- 284
- References
- 4
- FWCI
- 72.22
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Serumaga, B., Ross-Degnan, D., Avery, A. J., Elliott, R. A., Majumdar, S. R., Zhang, F., & Soumerai, S. B. (2011). Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study. BMJ. https://doi.org/10.1136/bmj.d108
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