Title |
How QOF is shaping primary care review consultations: a longitudinal qualitative study
|
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Published in |
BMC Primary Care, July 2013
|
DOI | 10.1186/1471-2296-14-103 |
Pubmed ID | |
Authors |
Carolyn A Chew-Graham, Cheryl Hunter, Susanne Langer, Alexandra Stenhoff, Jessica Drinkwater, Elspeth A Guthrie, Peter Salmon |
Abstract |
Long-term conditions (LTCs) are increasingly important determinants of quality of life and healthcare costs in populations worldwide. The Chronic Care Model and the NHS and Social Care Long Term Conditions Model highlight the use of consultations where patients are invited to attend a consultation with a primary care clinician (practice nurse or GP) to complete a review of the management of the LTC. We report a qualitative study in which we focus on the ways in which QOF (Quality and Outcomes Framework) shapes routine review consultations, and highlight the tensions exposed between patient-centred consulting and QOF-informed LTC management. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 31 | 54% |
Côte d'Ivoire | 1 | 2% |
Switzerland | 1 | 2% |
France | 1 | 2% |
Unknown | 23 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 33 | 58% |
Scientists | 14 | 25% |
Practitioners (doctors, other healthcare professionals) | 9 | 16% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | <1% |
Spain | 1 | <1% |
Switzerland | 1 | <1% |
Unknown | 126 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 24 | 19% |
Student > Master | 21 | 16% |
Student > Ph. D. Student | 16 | 12% |
Student > Postgraduate | 11 | 9% |
Other | 9 | 7% |
Other | 31 | 24% |
Unknown | 17 | 13% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 49 | 38% |
Nursing and Health Professions | 20 | 16% |
Social Sciences | 11 | 9% |
Psychology | 8 | 6% |
Economics, Econometrics and Finance | 3 | 2% |
Other | 17 | 13% |
Unknown | 21 | 16% |