Cargando…
Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study
BACKGROUND: The aim of this study was to evaluate the impact of Quality and Outcomes Framework (QOF), a major pay-for-performance programme in the United Kingdom, on prescribing of long-acting reversible contraceptives (LARC) in primary care. METHODS: Negative binomial interrupted time series analys...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973652/ https://www.ncbi.nlm.nih.gov/pubmed/24694949 http://dx.doi.org/10.1371/journal.pone.0092205 |
_version_ | 1782479352920801280 |
---|---|
author | Arrowsmith, Myat E. Majeed, Azeem Lee, John Tayu Saxena, Sonia |
author_facet | Arrowsmith, Myat E. Majeed, Azeem Lee, John Tayu Saxena, Sonia |
author_sort | Arrowsmith, Myat E. |
collection | PubMed |
description | BACKGROUND: The aim of this study was to evaluate the impact of Quality and Outcomes Framework (QOF), a major pay-for-performance programme in the United Kingdom, on prescribing of long-acting reversible contraceptives (LARC) in primary care. METHODS: Negative binomial interrupted time series analysis using practice level prescribing data from April 2007 to March 2012. The main outcome measure was the prescribing rate of long-acting reversible contraceptives (LARC), including hormonal and non hormonal intrauterine devices and systems (IUDs and IUSs), injectable contraceptives and hormonal implants. RESULTS: Prescribing rates of Long-Acting Reversible Contraception (LARC) were stable before the introduction of contraceptive targets to the QOF and increased afterwards by 4% annually (rate ratios = 1.04, 95% CI = 1.03, 1.06). The increase in LARC prescribing was mainly driven by increases in injectables (increased by 6% annually), which was the most commonly prescribed LARC method. Of other types of LARC, the QOF indicator was associated with a step increase of 20% in implant prescribing (RR = 1.20, 95% CI = 1.09, 1.32). This change is equivalent to an additional 110 thousand women being prescribed with LARC had QOF points not been introduced. CONCLUSIONS: Pay for performance incentives for contraceptive counselling in primary care with women seeking contraceptive advice has increased uptake of LARC methods. |
format | Online Article Text |
id | pubmed-3973652 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-39736522014-04-04 Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study Arrowsmith, Myat E. Majeed, Azeem Lee, John Tayu Saxena, Sonia PLoS One Research Article BACKGROUND: The aim of this study was to evaluate the impact of Quality and Outcomes Framework (QOF), a major pay-for-performance programme in the United Kingdom, on prescribing of long-acting reversible contraceptives (LARC) in primary care. METHODS: Negative binomial interrupted time series analysis using practice level prescribing data from April 2007 to March 2012. The main outcome measure was the prescribing rate of long-acting reversible contraceptives (LARC), including hormonal and non hormonal intrauterine devices and systems (IUDs and IUSs), injectable contraceptives and hormonal implants. RESULTS: Prescribing rates of Long-Acting Reversible Contraception (LARC) were stable before the introduction of contraceptive targets to the QOF and increased afterwards by 4% annually (rate ratios = 1.04, 95% CI = 1.03, 1.06). The increase in LARC prescribing was mainly driven by increases in injectables (increased by 6% annually), which was the most commonly prescribed LARC method. Of other types of LARC, the QOF indicator was associated with a step increase of 20% in implant prescribing (RR = 1.20, 95% CI = 1.09, 1.32). This change is equivalent to an additional 110 thousand women being prescribed with LARC had QOF points not been introduced. CONCLUSIONS: Pay for performance incentives for contraceptive counselling in primary care with women seeking contraceptive advice has increased uptake of LARC methods. Public Library of Science 2014-04-02 /pmc/articles/PMC3973652/ /pubmed/24694949 http://dx.doi.org/10.1371/journal.pone.0092205 Text en © 2014 Arrowsmith et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Arrowsmith, Myat E. Majeed, Azeem Lee, John Tayu Saxena, Sonia Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study |
title | Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study |
title_full | Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study |
title_fullStr | Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study |
title_full_unstemmed | Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study |
title_short | Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study |
title_sort | impact of pay for performance on prescribing of long-acting reversible contraception in primary care: an interrupted time series study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973652/ https://www.ncbi.nlm.nih.gov/pubmed/24694949 http://dx.doi.org/10.1371/journal.pone.0092205 |
work_keys_str_mv | AT arrowsmithmyate impactofpayforperformanceonprescribingoflongactingreversiblecontraceptioninprimarycareaninterruptedtimeseriesstudy AT majeedazeem impactofpayforperformanceonprescribingoflongactingreversiblecontraceptioninprimarycareaninterruptedtimeseriesstudy AT leejohntayu impactofpayforperformanceonprescribingoflongactingreversiblecontraceptioninprimarycareaninterruptedtimeseriesstudy AT saxenasonia impactofpayforperformanceonprescribingoflongactingreversiblecontraceptioninprimarycareaninterruptedtimeseriesstudy |