The British journal of general practice : the journal of the Royal College of General Practitioners
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Quality indicators were adopted to compare quality of care across health systems. ⋯ Achieving good glycaemic control is dependent on patient characteristics. New immigrants, patients of low socioeconomic status, and older patients need special attention to avoid disparities.
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Multicenter Study
The UK pay-for-performance programme in primary care: estimation of population mortality reduction.
General practices in the UK contract with the government to receive additional payments for high-quality primary care. Little is known about the resulting impact on population health. ⋯ The contract may have delivered substantial health gain, but potential health gain was limited by performance targets for full payment being set lower than typical baseline performance. Information on both baseline performance and population health gain should inform decisions about future selection of indicators for pay-for-performance schemes, and the level of performance at which full payment is triggered.