Quality of disease management and risk of mortality in english primary care practices

Health Services Research

Volumn 50, Issue 5, 2015, Pages 1452-1471

  Dusheiko, Mark ^a,b   Gravelle, Hugh ^a   Martin, Stephen ^a   Smith, Peter C ^c  

^a UNIVERSITY OF YORK   (United Kingdom)

^b UNIVERSITY OF LAUSANNE   (Switzerland)

^c IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

chronic conditions; Disease management; mortality; primary care; quality

Indexed keywords

AGE DISTRIBUTION; ARTICLE; CEREBROVASCULAR ACCIDENT; CHRONIC DISEASE; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; GENERAL PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MORBIDITY; MORTALITY; MULTILEVEL ANALYSIS; OUTCOME ASSESSMENT; PRIMARY HEALTH CARE; RANDOM SAMPLE; RISK REDUCTION; SEX DIFFERENCE; SOCIAL STATUS; TOTAL QUALITY MANAGEMENT; TREND STUDY; UNITED KINGDOM; AGE; COMORBIDITY; DISEASE MANAGEMENT; ENGLAND; FEMALE; MALE; NATIONAL HEALTH SERVICE; ORGANIZATION AND MANAGEMENT; SOCIOECONOMICS; STANDARDS; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME;

AGE FACTORS; CHRONIC DISEASE; COMORBIDITY; CROSS-SECTIONAL STUDIES; DISEASE MANAGEMENT; ENGLAND; FEMALE; HEALTH SERVICES ACCESSIBILITY; HOSPITALIZATION; HUMANS; LOGISTIC MODELS; MALE; PRIMARY HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; QUALITY OF HEALTH CARE; SEX FACTORS; SOCIOECONOMIC FACTORS; STATE MEDICINE; TREATMENT OUTCOME;

EID: 84942296978     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12283     Document Type: Article

References (40)

1. Bankart, M., R. Baker, A. Rashid, M. Habiba, J. Banerjee, R. Hsu, S. Conroy, S. Agarwal, and, A. Wilson,. 2011. " Characteristics of General Practices Associated with Emergency Admission Rates to Hospital: A Cross-Sectional Study." Emergency Medicine Journal 7: 558-63. doi: 10.1136/emj.2010.108548.
2. Beck, K., Z. Trottmann, and, P. Zweifel,. 2010. " Risk Adjustment in Health Insurance and Its Long-Term Effectiveness." Journal of Health Economics 29: 489-98.
3. Bottle, A., S. Gnani, S. Saxena, P. Aylin, A. Mainous, and, A. Majeed,. 2008a. " Association between Quality of Primary Care and Hospitalization for Coronary Heart Disease in England: A National Cross-Sectional Study." Journal of General Internal Medicine 23: 135-41.
4. Bottle, A., C. Millett, Y. Xie, P. Aylin, A. Mainous, and, A. Majeed,. 2008b. " Quality of Primary Care and Hospital Admissions for Diabetes Mellitus in England." Journal of Ambulatory Care Management 31: 226-38.
5. Brønnum-Hansen, H., M. Michael Davidsen, R. Thorvaldsen, for the Danish MONICA Study Group. 2001. " Long-Term Survival and Causes of Death after Stroke." Stroke 32: 2131-6.
6. de Bruin, S., C. Baan, and, J. Struijs,. 2011a. " Pay-for-Performance in Disease Management: A Systematic Review of the Literature." BMC Health Services Research 11: 272.
7. de Bruin, S., R. Heijink, L. Lemmens, J. Struijs, and, C. Baan,. 2011b. " Impact of Disease Management Programs on Healthcare Expenditures for Patients with Diabetes, Depression, Heart Failure or Chronic Obstructive Pulmonary Disease: A Systematic Review of the Literature." Health Policy 101: 105-21. doi: 10.1016/j.healthpol.2011.03.006.
8. Calderõn-Larrañaga, A., L. Carney, M. Soljak, A. Bottle, M. Partridge, D. Bell, G. Abi-Aad, P. Aylin, and, A. Majeed,. 2011. " Association of Population and Primary Healthcare Factors with Hospital Admission Rates for Chronic Obstructive Pulmonary Disease in England: National Cross Sectional Study." Thorax 66: 191-6.
9. Campbell, S., D. Reeves, E. Kontopantelis, B. Sibbald, and, M. Roland,. 2009. " Effects of Pay for Performance on the Quality of Primary Care in England." New England Journal of Medicine 361: 368-78.
10. Chang, R. E., S. P. Lin, and, D. C. Aron,. 2012. " A Pay-for-Performance Program in Taiwan Improved Care for Some Diabetes Patients, but Doctors May Have Excluded Sicker Ones." Health Affairs 31: 93-102.
11. Chen, J. Y., H. Tian, J. D. Taira, K. Hodges, J. Brand, R. Chung, and, A. Legorreta,. 2010. " The Effect of a PPO Pay-for-Performance Program on Patients with Diabetes." American Journal of Managed Care 16: e11-9.
12. Collins, R., R. Peto, S. MacMahon, J. Godwin, N. Qizilbash, P. Hebert, K. Eberlein, J. Taylor, C. Hennekens, and, N. Fiebach,. 1990. " Blood Pressure, Stroke, and Coronary Heart Disease." The Lancet 335: 827-38.
13. Department of Communities and Local Government. 2008. The English Indices of Deprivation. London: Her Majesty's Stationery Office.
14. Dixon, J., P. Smith, H. Gravelle, S. Martin, M. Bardsley, N. Rice, T. Georghiou, M. Dusheiko, J. Billings, M. De Lorenzo, and, C. Sanderson,. 2011. " A Person Based Formula for Allocating Commissioning Funds to General Practices in England: Development of a Statistical Model." British Medical Journal 343: d6608.
15. Doran, T., and, M. Roland,. 2010. " Lessons from Major Initiatives to Improve Primary Care in the United Kingdom." Health Affairs 29: 1023-9.
16. Doran, T., C. Fullwood, H. Gravelle, D. Reeves, E. Kontopantelis, U. Hiroeh, and, M. Roland,. 2006. " Pay for Performance Programs in Family Practices in the United Kingdom." New England Journal of Medicine 355: 375-84.
17. Downing, A., G. Rudge, Y. Cheng, Y. Tu, J. Keen, and, M. Gilthorpe,. 2007. " Do the UK Government's New Quality and Outcomes Framework (QOF) Scores Adequately Measure Primary Care Performance? A Cross-Sectional Survey of Routine Healthcare Data." BMC Health Services Research 7: 166.
18. Dusheiko, M., T. Doran, H. Gravelle, C. Fullwood, and, M. Roland,. 2011a. " Does Higher Quality of Diabetes Management in Family Practice reduce Unplanned Hospital Admissions? " Health Services Research 46: 27-46.
19. Dusheiko, M., H. Gravelle, S. Martin, N. Rice, and, P. Smith,. 2011b. " Does Better Disease Management Reduce Hospital Costs? Evidence from English Primary Care." Journal of Health Economics 30: 919-32.
20. Fleetcroft, R., and, R. Cookson,. 2006. " Do the Incentives in the New NHS Contract for Primary Care Reflect Likely Population Health Gains? " Journal of Health Services Research and Policy 11: 27-31.
21. Fleetcroft, R., S. Parekh-Bhurke, A. Howe, R. Cookson, L. Swift, and, N. Steel,. 2010. " The UK Pay-for-Performance Programme in Primary Care: Estimation of Population Mortality Reduction." British Journal of General Practice 60: e345-52. doi: 10.3399/bjgp10X515359.
22. Gravelle, H., S. Morris, and, M. Sutton,. 2008. " Are Family Physicians Good for Your Health? Endogenous Supply and Health." Health Services Research 43: 1128-44.
23. Hardoon, S., P. Whincup, I. Petersen, S. Capewell, and, R. Morris,. 2011. " Trends in Longer-Term Survival Following an Acute Myocardial Infarction and Prescribing of Evidenced-Based Medications in Primary Care in the UK from 1991: A Longitudinal Population-Based Study." Journal of Epidemiology and Community Health 65: 770-4. doi: 10.1136/jech.2009.098087.
24. Health and Social Care Information Centre [HSCIC]. 2008. England, 2007-2008, National level: Prevalence Data Tables [accessed on December 20, 2014]. Available at http://www.hscic.gov.uk/catalogue/PUB06021
25. Heart Protection Study Collaborative Group. 2002. " MRC/BHF Heart Protection Study of Cholesterol Lowering with Simvastatin in 20536 High-Risk Individuals: A Randomised Placebo-Controlled Trial." The Lancet 360: 7-22.
26. Hofmarcher, M. M., H. Oxley, and, E. Rusticelli,. 2007. Improved Health System Performance through Better Care Coordination. OECD Health Working Papers No 30. OECD, Paris.
27. Kiran, T., A. Hutchings, I. A. Dhalla, C. Furlong, and, B. Jacobson,. 2010. " The Association between Quality of Primary Care, Deprivation and Cardiovascular Outcomes A Cross-Sectional Study Using Data from the UK Quality and Outcomes Framework." Journal of Epidemiology and Community Health 64: 927-34. doi: 10.1136/jech.2009.098806.
28. Lee, T., S. Cheng, C. Chen, and, M. S. Lai,. 2010. " A Pay-For-Performance Program for Diabetes Care in Taiwan: A Preliminary Assessment." American Journal of Managed Care 16: 65-9.
29. Levene, L. S., R. Baker, M. J. G. Bankart, and, K. Khunti,. 2010. " Association of Features of Primary Health Care with Coronary Heart Disease Mortality." Journal of the American Medical Association 304: 2028-34.
30. Mattke, S., M. Seid, and, S. Ma,. 2007. " Evidence for the Effect of Disease Management: Is $1 Billion a Year a Good Investment? " American Journal of Managed Care 13: 670-6.
31. McColl, A., P. Roderick, J. Gabbay, H. Smith, and, M. Moore,. 1998. " Performance Indicators for Primary Care Groups: An Evidence Based Approach." British Medical Journal 317: 1354-60.
32. McKee, M., and, E. Nolte,. 2004. " Responding to the Challenge of Chronic Diseases: Ideas from Europe." Clinical Medicine 4: 336-42.
33. PBRA Team. 2010. " Developing a Person Based Resource Allocation Formula for Allocations to General Practices in England." Nuffield Trust [accessed on December 20, 2014]. Available at http://www.nuffieldtrust.org.uk/sites/files/nuffield/document/Developing-a-person-based-resource-allocation-formula-REPORT.pdf
34. Roccaforte, R., C. Demers, F. Baldassarre, K. Teo, and, S. Yusuf,. 2005. " Effectiveness of Comprehensive Disease Management Programmes in Improving Clinical Outcomes in Heart Failure Patients. A Meta-Analysis." European Journal of Heart Failure 7: 1133-44.
35. Roland, M., 2004. " Linking Physicians' Pay to the Quality of Care. A Major Experiment in the United Kingdom." New England Journal of Medicine 351: 1448-54.
36. Schoen, C., R. Osborn, D. Squires, M. Doty, R. Pierson, and, S. Applebaum,. 2011. " New 2011 Survey of Patients with Complex Care Needs in Eleven Countries Finds That Care Is Often Poorly Coordinated." Health Affairs 30: 2437-48. doi: 10.1377/hlthaff.2011.0923.
37. Scott, A., S. Schurer, P. Jensen, and, P. Sivey,. 2009. " The Effects of an Incentive Program on Quality of Care in Diabetes Management." Health Economics 18: 1091-108.
38. Shohet, C., J. Yelloly, P. Bingham, and, G. Lyratzopoulos,. 2007. " The Association between the Quality of Epilepsy Management in Primary Care, General Practice Population Deprivation Status and Epilepsy-Related Emergency Admissions." Seizure 16: 351-5.
39. Sönnichsen, A. C., H. Winkler, M. Flamm, S. Panisch, P. Kowatsch, G. Klima, B. Fürthauer, and, R. Weitgasser,. 2010. " The Effectiveness of the Austrian Disease Management Programme for Type 2 Diabetes: A Cluster-Randomised Controlled Trial." BMC Family Practice 11: 86.
40. Tsai, A., S. Morton, C. Mangione, and, E. Keeler,. 2005. " A Meta-Analysis of Interventions to Improve Care for Chronic Illnesses." American Journal of Managed Care 11: 478-88.