GP Targets On Heart Disease Should Be Simpler And Based More On Treatment, Prevention
GP performance related payments for tackling heart disease are too complex. They should be simplified and based more on disease treatment and prevention and less on risk factor measurement, experts advise in this week's BMJ.
General practice in the United Kingdom has the largest healthcare pay for performance programme in the world - the quality and outcomes framework (QOF). Practices earn points for the services they provide and these points attract financial resources into the practice.
Professor Bruce Guthrie and colleagues discuss the effectiveness of the system in relation to the management of cardiovascular disease and show how practices can earn many points and extra payments without necessarily reducing its risk.
For example, a practice could receive nine points (each worth about