Compliance with quality prescribing indicators linked to financial incentives: what about not incentivized indicators?: an observational study

Fernández-Urrusuno, Rocío; Pérez-Pérez, Pastora; Balosa, Ma Carmen Montero; Calzada, Cristina Márquez; Pisa, Beatriz Pascual de la

doi:10.1007/s00228-013-1610-9

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…The primary outcome is adherence to appropriately prescribed medicines and will be determined at 12 months by assessing the percentage of prescriptions that are both (1) appropriate based on explicit criteria 27 and (2) taken as prescribed or adhered to for greater than 80% of doses.…”

Section: Methods and Analysismentioning

confidence: 99%

Protocol for a randomised controlled trial evaluating the effects of providing essential medicines at no charge: the Carefully seLected and Easily Accessible at No Charge Medicines (CLEAN Meds) trial

et al. 2017

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IntroductionCost-related non-adherence to medicines is common in low-income, middle-income and high-income countries such as Canada. Medicine non-adherence is associated with poor health outcomes and increased mortality. This randomised trial will test the impact of a carefully selected list of essential medicines at no charge (compared with usual medicine access) in primary care patients reporting cost-related non-adherence.Methods and analysisThis is an open-label, parallel two-arm, superiority, individually randomised controlled trial conducted in three primary care sites (one urban, two rural) in Ontario, Canada, that was codesigned by a community guidance panel. Adult patients (≥18 years) who report cost-related non-adherence to medicines are eligible to participate in the study. Participants will be randomised to receive free and convenient access to a carefully selected list of 125 essential medicines (based on the WHO’s Model List of Essential Medicines) or usual means of medicine access. Care for patients in both groups will otherwise be unchanged. The primary outcome of this trial is adherence to appropriately prescribed medicines. Secondary outcomes include medicine adherence, appropriate prescribing, blood pressure, haemoglobin A1c, low-density lipoprotein cholesterol, patient-oriented outcomes and healthcare costs. All participants will be followed for at least 12 months.Ethics and disseminationEthics approval was obtained in all three participating sites. Results of the main trial and secondary outcomes will be submitted for publication in a peer-reviewed journal and discussed with members of the public and decision makers.Trial registration numberNCT02744963.

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Section: Methods and Analysismentioning

confidence: 99%

Protocol for a randomised controlled trial evaluating the effects of providing essential medicines at no charge: the Carefully seLected and Easily Accessible at No Charge Medicines (CLEAN Meds) trial

et al. 2017

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Effects of a primary care intervention to improve the quality of zolpidem prescriptions in elderly patients

López-Sepúlveda

Lirola

García

et al. 2016

Eur J Clin Pharmacol

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Individual performance-based incentives for health care workers in Organisation for Economic Co-operation and Development member countries: a systematic literature review

et al. 2022

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Compliance with quality prescribing indicators linked to financial incentives: what about not incentivized indicators?: an observational study

Abstract: The compliance of GPs showing compliance with quality prescribing indicators included in pay-for-performance programmes was not better than that of those who showed no compliance with other relevant quality prescribing indicators not linked to financial incentives.

Cited by 3 publications

References 27 publications

Protocol for a randomised controlled trial evaluating the effects of providing essential medicines at no charge: the Carefully seLected and Easily Accessible at No Charge Medicines (CLEAN Meds) trial

Protocol for a randomised controlled trial evaluating the effects of providing essential medicines at no charge: the Carefully seLected and Easily Accessible at No Charge Medicines (CLEAN Meds) trial

Effects of a primary care intervention to improve the quality of zolpidem prescriptions in elderly patients

Individual performance-based incentives for health care workers in Organisation for Economic Co-operation and Development member countries: a systematic literature review

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