Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study
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{"title"=>"Impact of pay for performance on prescribing of long- Acting reversible contraception in primary care: An interrupted time series study", "type"=>"journal", "authors"=>[{"first_name"=>"Myat E.", "last_name"=>"Arrowsmith", "scopus_author_id"=>"55243052000"}, {"first_name"=>"Azeem", "last_name"=>"Majeed", "scopus_author_id"=>"7102027801"}, {"first_name"=>"John Tayu", "last_name"=>"Lee", "scopus_author_id"=>"37102143600"}, {"first_name"=>"Sonia", "last_name"=>"Saxena", "scopus_author_id"=>"56471208600"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84898789819", "sgr"=>"84898789819", "pui"=>"372885434", "isbn"=>"1932-6203", "pmid"=>"24694949", "doi"=>"10.1371/journal.pone.0092205"}, "id"=>"ac619b5d-f6ca-37a1-b698-cb15e7cadb96", "abstract"=>"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.\\n\\nMETHODS: 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.\\n\\nRESULTS: 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.\\n\\nCONCLUSIONS: Pay for performance incentives for contraceptive counselling in primary care with women seeking contraceptive advice has increased uptake of LARC methods.", "link"=>"http://www.mendeley.com/research/impact-pay-performance-prescribing-long-acting-reversible-contraception-primary-care-interrupted-tim", "reader_count"=>32, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Researcher"=>9, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>3, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Researcher"=>9, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>3, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Engineering"=>1, "Medicine and Dentistry"=>17, "Agricultural and Biological Sciences"=>1, "Business, Management and Accounting"=>1, "Social Sciences"=>4, "Economics, Econometrics and Finance"=>4}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>17}, "Social Sciences"=>{"Social Sciences"=>4}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"United Kingdom"=>3, "Spain"=>1}, "group_count"=>1}

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Relative Metric

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