Marilyn James firstname.lastname@example.org
Spending by primary care practices-does it show what we expect?
James, Marilyn; Stokes, Elizabeth
Over recent years, a number of policies and financial incentives in primary care have been proposed to tackle issues such as deprivation and health outcomes. This article investigates the association between healthcare spending, deprivation and outcomes. It argues that individual practice data are analysed before blanket application and acceptance that one size fits all in a local area.
Financial data were analysed alongside key outcome data, including quality and outcomes framework (QOF) indicators for a large urban primary care trust (PCT) in the UK. The PCT had a large population and number of practices, including single-handed practices and an average list size in excess of 5000. The PCT will remain anonymous.
There was no relationship between primary care investment and the practices' deprivation score. There was a strong statistically significant negative correlation between QOF payments and deprivation, (correlation = −0.46, p
|Journal Article Type||Article|
|Publication Date||Aug 4, 2014|
|Journal||International Journal of Health Planning and Management|
|Peer Reviewed||Peer Reviewed|
|Institution Citation||James, M., & Stokes, E. (2014). Spending by primary care practices-does it show what we expect?. International Journal of Health Planning and Management, 29(3), doi:10.1002/hpm.2224|
|Keywords||primary care policy; investment; outcome; QOF indicators; deprivation|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0|
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0