GPs' responses to a new quality-based payment system

GPs' responses to a new quality-based payment system

Investigators

Gravelle, H. (University of York) Sutton, M.and Ma, A. (HERU)

Summary

The UK National Health Service has introduced an extensive system of payment for performance against 146 quality indicators for its general practitioners. GPs can increase their income by meeting a clinical indicator for more patients, or by varying the number they report as having a relevant condition, or by increasing the number of patients they exception report as ineligible for an indicator. We developed a model of GP behaviour when practices care about income and patient welfare and estimated it using data from 916 Scottish practices in 2004/5 and 2005/6.

Contact

D Skåtun

Status

Complete

Publications

Gravelle, H., Sutton, M. and Ma, A. Doctor behaviour under a pay for performance contract: treating, cheating, and case finding. The Economic Journal. 120 (542): F129-F156, 2010

Gravelle, H., Sutton, M.and Ma, A. Doctor behaviour under a pay for performance contract: evidence from the Quality and Outcomes Framework. Centre for Health Economics Research Paper 28. University of York 2007.

Gravelle, H., Sutton, M. and Ma, A. Doctor Behaviour Under a Pay for Performance Contract: Further Evidence from the Quality and Outcomes Framework, Centre for Health Economics Research Paper 34, Centre for Health Economics, University of York, May 2008.

Presentations

Gravelle, H., Sutton, M. and Ma, A. Cheat or treat? Doctors' responses to payment based on self-reported treatment rates. Royal Economics Society, Warwick, April 2007.

Gravelle, H., Sutton, M. and Ma, A. Treat and cheat? Doctors’ behaviour under a pay for performance contract. European Health Economics Workshop, Bergen. May 2008.

Sutton, M. The effect on Patient care. Never mind the quality: count the points: the effectiveness of the GMS contract. University of Glasgow, February 2006.

French, F., Needham, G., Rooke, C., Sutton, M., Geue, C., Ikenwilo, D.and Skåtun, D. To what extent does gender continue to influence the career choices, working patterns and job satisfaction of doctors in the NHS in Scotland. Work, employment and Society (WES) conference. Aberdeen, September 2007.

Gravelle, H., Sutton, M. and Ma, A. Paying for quality: British general practitioners' performance under the quality and outcomes framework. iHEA. Copenhagen, July 2007.

Sutton, M., Gravelle, H. and Ma, A. The Quality and Outcomes Framework (QOF): Trick or treat? 'Paying for Performance? Changing payment systems and the Scottish Health Service'. Health Economics Research Unit Policy Conference. Edinburgh, October 2007.