A prescribing incentive scheme for non-fundholding general practices : an observational study.
To examine the effects of a financial incentive scheme on prescribing in nonfundholding general practices.
Setting-Non-fundholding general practices in former Northern region in 1993-4.
Intervention-Target savings were set for each group of practices ; those that achieved them were paid a portion of the savings.
Main outcome measures-Financial performance ; prescribing patterns in major therapeutic groups and some specific therapeutic areas ; rates of generic prescribing ; and performance against a measure of prescribing quality.
Subjects-459 non-fundholding general practices, grouped into three bands according to the ratio of their indicative prescribing amount to the local average (band A =10% above average, B between average and 10% above, C below average).
102 (23%) of 442 practices achieved their target savings (18%, 19%, and 27% of bands A, B, and C respectively).
Band C practices that achieved their target had a lower per capita prescribing frequency for gastrointestinal drugs, inhaled steroids, antidepressants, and hormone replacement therapy.
There were no other significant differences in prescribing frequency, and no reduction in the quality of prescribing in achieving practices.
Total savings of £1.54m on indicative prescribing amounts were achieved.
Payments from the incentive scheme and discretionary quality awards resulted in £463 000 being returned to practices for investment in primary care. (...)
Mots-clés Pascal : Prescription, Médecin généraliste, Système santé, Organisation santé, Economie santé, Qualité, Soin, Royaume Uni, Europe, Angleterre, Grande Bretagne, Homme
Mots-clés Pascal anglais : Prescription, General practitioner, Health system, Public health organization, Health economy, Quality, Care, United Kingdom, Europe, England, Great Britain, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0423234
Code Inist : 002B30A01B. Création : 10/04/1997.