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dc.contributor.authorArrowsmith, ME
dc.contributor.authorMajeed, A
dc.contributor.authorLee, JT
dc.contributor.authorSaxena, S
dc.date.accessioned2020-12-10T01:29:24Z
dc.date.available2020-12-10T01:29:24Z
dc.date.issued2014-04-02
dc.identifierpii: PONE-D-13-48066
dc.identifier.citationArrowsmith, M. E., Majeed, A., Lee, J. T. & Saxena, S. (2014). Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study. PLOS ONE, 9 (4), https://doi.org/10.1371/journal.pone.0092205.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/253719
dc.description.abstractBACKGROUND: The aim of this study was to evaluate the impact of Quality and Outcomes Framework (QOF), a major pay-for-performance programme in the United Kingdom, on prescribing of long-acting reversible contraceptives (LARC) in primary care. METHODS: Negative binomial interrupted time series analysis using practice level prescribing data from April 2007 to March 2012. The main outcome measure was the prescribing rate of long-acting reversible contraceptives (LARC), including hormonal and non hormonal intrauterine devices and systems (IUDs and IUSs), injectable contraceptives and hormonal implants. RESULTS: Prescribing rates of Long-Acting Reversible Contraception (LARC) were stable before the introduction of contraceptive targets to the QOF and increased afterwards by 4% annually (rate ratios  = 1.04, 95% CI = 1.03, 1.06). The increase in LARC prescribing was mainly driven by increases in injectables (increased by 6% annually), which was the most commonly prescribed LARC method. Of other types of LARC, the QOF indicator was associated with a step increase of 20% in implant prescribing (RR =  1.20, 95% CI =  1.09, 1.32). This change is equivalent to an additional 110 thousand women being prescribed with LARC had QOF points not been introduced. CONCLUSIONS: Pay for performance incentives for contraceptive counselling in primary care with women seeking contraceptive advice has increased uptake of LARC methods.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.titleImpact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0092205
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titlePLoS One
melbourne.source.volume9
melbourne.source.issue4
dc.rights.licenseCC BY
melbourne.elementsid1325336
melbourne.contributor.authorLee, Ta-Yu
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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