TY  - JOUR
AU  - Arrowsmith, ME
AU  - Majeed, A
AU  - Lee, JT
AU  - Saxena, S
Y2  - 2020/12/10
Y1  - 2014/04/02
SN  - 1932-6203
UR  - http://hdl.handle.net/11343/253719
AB  - BACKGROUND: 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.
LA  - English
PB  - PUBLIC LIBRARY SCIENCE
T1  - Impact of Pay for Performance on Prescribing of Long-Acting Reversible Contraception in Primary Care: An Interrupted Time Series Study
DO  - 10.1371/journal.pone.0092205
IS  - PLoS One
VL  - 9
IS  - 4
L1  - /bitstream/handle/11343/253719/PMC3973652.pdf?sequence=1&isAllowed=y
ER  -