Re: The Quality and Outcomes Framework—where next?
An insightful review, thank you. I continue to be concerned about gameplaying and what the data recorded by general practice teams means (1).
I am disappointed that the excellent work published by the Centre for Health Economics is not routinely referenced in reviews like this (2,3,4). I was interested to note that the most recent paper was not published in a Health Service related Journal
(2)Hugh Gravelle, Matt Sutton and Ada Ma Doctor behaviour under a pay for performance contract: Evidence from the quality and outcomes framework - http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp28_doc...
(3)Hugh Gravelle, Matt Sutton and Ada Ma Doctor behaviour under a pay for performance contract: further evidence from the quality and outcomes framework - http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp34_doc...
(4)Morris S, Goudie R, Sutton M, Gravelle H, Elliott R, Hole A, Ma A, Sibbald B, Skatun D. Determinants of general practitioners’ wages in England. Health Economics 2011;20:147-60.
Competing interests: My income depends upon QOF achievement.