Impact of the GP contract on inequalities associated with influenza immunisation: a retrospective population-database analysis

Implementation Processes and Pay for Performance in Healthcare: A Systematic Review

“…We identified 15 retrospective cohort studies 30,[32][33][34][35][36][37][38][39][40][41][42][43][44][45] and three cross sectional surveys 15,46,47 related to the inner setting. Studies of the QOF found that larger practices in the UK performed better in the short term, [33][34][35] particularly when examining total QOF points; 37 however, results varied when examining subgroups by condition or location and by indicator.…”

“…Studies of the QOF found that larger practices in the UK performed better in the short term, [33][34][35] particularly when examining total QOF points; 37 however, results varied when examining subgroups by condition or location and by indicator. 36,44,45 In addition, two studies found that group practice and training practice status was associated with higher quality of care, 33,34 while two others found no significant effect of training practice status after controlling for covariates. 35,44 Studies in the United States and other countries indicate that factors related to higher quality or greater quality improvement include culture change interventions introduced along with P4P, 46 and clinical support tools.…”

“…36,44,45 In addition, two studies found that group practice and training practice status was associated with higher quality of care, 33,34 while two others found no significant effect of training practice status after controlling for covariates. 35,44 Studies in the United States and other countries indicate that factors related to higher quality or greater quality improvement include culture change interventions introduced along with P4P, 46 and clinical support tools. 42 Results were mixed regarding quality improvement visits/groups and training.…”

“…Inner setting Eighteen studies 15,30,[33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] examined implementation factors related to the inner setting. Studies found:…”

Influenza vaccine uptake: the case for universal flu vaccination of young children

“…1 Although one of the three papers on influenza vaccination in this issue of the BJGP reports that some social inequality in vaccine uptake persists -despite introduction of the Quality and Outcomes Framework, which boosted overall uptake and reduced variation between practiceseven in the most socioeconomically deprived category, two-thirds (67%) of older patients in Scotland were vaccinated in 2006/2007. 2 In contrast, research by Sampson et al found that influenza vaccine was given to only one in four of the at-risk children for whom seasonal influenza vaccination is recommended by UK national guidelines. 3 For some parents, getting to the clinic for the offered appointment was an issue.…”