作者: Andrew Georgiou , Joan Burns , Mark Harris
DOI:
关键词: Incentive 、 Quarter (United States coin) 、 Quality care 、 Chronic disease 、 Diabetes mellitus 、 Payment 、 Family medicine 、 Social science 、 Socioeconomic disadvantage 、 Diabetes prevalence 、 Medicine
摘要: BACKGROUND: There is a wide variability in the level of claims for diabetes. Service Incentive Payments (SIP) by general practitioners. METHOD: Cross sectional comparison ratio number SIP items claimed between August 2002 and July 2003 to estimated prevalence diabetes divisions practice (DGP). PARTICIPANTS AND SETTING: Seventy-nine 101 DGP with programs 2002. RESULTS: The average (including both diagnosed undiagnosed cases) each quarter year was 10.1% (standard deviation 3.6). This higher more disadvantaged population, their GP members large practices. provision IT support proportion GPs who had patients registered on division's register were associated claims. A multiple regression model two factors: socioeconomic disadvantage practices five or predicted 41% variance. CONCLUSION: Divisions appear be supporting serving populations deliver quality care chronic disease. association size activities suggests that organisation systems are important good (author abstract)