Higher quality dementia care

In a programme of 3 linked studies, we investigated the impact of the QOF dementia review on the quality of care received by those with dementia, focusing particularly on the interface between primary and secondary care. We asked whether GP practices that Higher Quality Dementia Care
review comparatively more of their patients have:

• fewer emergency hospital admissions
• shorter stays for those who are hospitalised
• lower risk of discharge to a care home following hospitalisation

The research used several linked large datasets analysing data for a 5 year period relating to all GP practices in England for patients with dementia, involving around 230,00 patients. Advanced statistical methods were employed in order to ensure other factors that can influence outcomes were taken into account.

Higher quality dementia care
Centre for Health Economics
February 2016

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Higher quality dementia care

"In a programme of 3 linked studies, we investigated the impact of the Quality and Outcomes Framework (QOF) dementia review on the quality of care received by those with dementia, focusing particularly on the interface between primary and secondary care."

Higher quality dementia care
Centre for Health Economics, University of York
February 2016

Read more here.

Do higher primary care practice performance scores predict lower rates of emergency admissions?

"Good-quality primary care management of patients with a SMI should reduce complications of a serious mental illness and comorbidities and should, therefore, be associated with lower unplanned admission rates."

Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data
R Jacobs, et al.
Health Services and Delivery Research, 2015, 3(16)

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Equity dimension in evaluations of the Quality and Outcomes Framework

"Introducing different targets for specific patient groups and including appropriate, non-disease specific and patient-centred indicators that grasp the complexity of primary care might refine the equity dimension of the evaluation of QOF."

The equity dimension in evaluations of the Quality and Outcomes Framework: a systematic review
P Boeckxstaens, D De Smedt, J De Maeseneer, L Annemans, S Willems
BMC Health Services Research, 2011, 11:209

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