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• W2029552419 abstract "# Prescribing incentive schemes in two NHS regions: cross sectional survey {#article-title-2}The introduction of fundholding in primary care in the United Kingdom contained prescribing costs, although the effect was modest and seemingly not accompanied by parallel improvements in the quality of prescribing.1 With the advent of primary care groups in 1999 a new incentive scheme was devised to influence prescribing. Financial rewards to general practices could be linked more explicitly to improvements in the quality and appropriateness of prescribing than under fundholding schemes. The money had to be invested in improvements to services available to patients.2 We surveyed prescribing indicators and financial rewards associated with such schemes in two NHS regions in England.In 2000 we sent two questionnaires to the prescribing adviser of each primary care group in the 66 London and 79 South East regional offices of the NHS Executive. One hundred and twenty one (83%) responded with details about their incentive scheme, and 129 (89%) provided financial information on prescribing.The table shows the categories of indicator most often included in the schemes. Quality based indicators were reported by 83% (100) and cost based indicators by 78% (94) of primary care groups. Some categories were used to indicate both quality and cost. Sixty three per cent of schemes (76) required the collection of data not based on prescribing analysis and cost (PACT), such as data from prescribing audits or reviews of repeat prescribing.View this table:Categories of prescribing indicators used by primary care groups in two NHS regions in their prescribing incentive schemesPrescribing costs ranged from an underspend of 7% to an overspend of …" @default.
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• W2029552419 date "2002-05-18" @default.
• W2029552419 modified "2023-09-22" @default.
• W2029552419 title "Prescribing incentive schemes in two NHS regions: cross sectional survey * Commentary: Prescribing incentive schemes---more evidence is needed of how they work" @default.
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• W2029552419 doi "https://doi.org/10.1136/bmj.324.7347.1187" @default.
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