Peckham, Stephen, Hann, Alison (2008) General practice and public health: assessing the impact of the new GMS contract. Critical Public Health, 18 (3). pp. 347-356. ISSN 0958-1596. (doi:10.1080/09581590802178028) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:29778)
The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. | |
Official URL: http://dx.doi.org/10.1080/09581590802178028 |
Abstract
Over the past 30 years, the important role of primary care in public health has
been widely recognised, and in the UK a range of measures to support public
health in general practice have been introduced since the late 1980s. In 2004 a new
general medical services contract was introduced changing the way general
practitioners are reimbursed in the NHS. The new contract shifted the emphasis
from the individual practitioner to the practice and introduced a new performance
incentive framework, the Quality Outcomes Framework, which rewards
performance through targeted financial payments. The performance framework
identifies specific areas of clinical and organisational performance and patient
experience activities – including a number of health promotion activities – and
practices attract points for attaining performance targets. This paper examines
the experience and impact of the new GMS contract on public health activities in
general practice. While the contract has only been operating for three full years,
there is emerging evidence to suggest that it may have a negative impact on public
health activities in general practice. The use of financial incentives appears to be
skewing practice towards areas that are rewarded, which may not be those that
maximise health outcomes, and there is some emerging evidence suggesting that
there is a negative effect on health inequalities. This paper reviews current
evidence on public health incentives in general practice within a wider context of
the impact of incentives for public health.
Item Type: | Article |
---|---|
DOI/Identification number: | 10.1080/09581590802178028 |
Uncontrolled keywords: | health promotion; primary care; governance |
Subjects: |
R Medicine > R Medicine (General) > R729 Types of medical practice > R729.5.G4 General practice R Medicine > RA Public aspects of medicine |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies |
Depositing User: | Tony Rees |
Date Deposited: | 04 Jul 2012 09:16 UTC |
Last Modified: | 16 Nov 2021 10:07 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/29778 (The current URI for this page, for reference purposes) |
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