{"id":"https://openalex.org/W1964230249","doi":"https://doi.org/10.1136/jnnp-2011-301993.99","title":"057 Has a pay for performance strategy in primary care improved epilepsy management in the UK?","display_name":"057 Has a pay for performance strategy in primary care improved epilepsy management in the UK?","publication_year":2012,"publication_date":"2012-02-09","ids":{"openalex":"https://openalex.org/W1964230249","doi":"https://doi.org/10.1136/jnnp-2011-301993.99","mag":"1964230249"},"language":"en","primary_location":{"id":"doi:10.1136/jnnp-2011-301993.99","doi":"https://doi.org/10.1136/jnnp-2011-301993.99","is_oa":false,"landing_page_url":"https://doi.org/10.1136/jnnp-2011-301993.99","pdf_url":null,"source":{"id":"https://openalex.org/S134773490","display_name":"Journal of Neurology Neurosurgery & Psychiatry","issn_l":"0022-3050","issn":["0022-3050","1468-330X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurology, Neurosurgery &amp; Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042782314","display_name":"James C Glasbey","orcid":"https://orcid.org/0000-0001-7688-5018","observed_orcids":["https://orcid.org/0000-0001-7688-5018"]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J C D Glasbey","raw_affiliation_strings":["Wales Epilepsy Research Network, Cardiff University, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wales Epilepsy Research Network, Cardiff University, UK","institution_ids":["https://openalex.org/I79510175"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006592544","display_name":"Thomas Russell Gilpin","orcid":"https://orcid.org/0000-0003-0837-3955","observed_orcids":["https://orcid.org/0000-0003-0837-3955"]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"T R Gilpin","raw_affiliation_strings":["Wales Epilepsy Research Network, Cardiff University, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wales Epilepsy Research Network, Cardiff University, UK","institution_ids":["https://openalex.org/I79510175"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020328828","display_name":"Samuel Steer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"S Steer","raw_affiliation_strings":["Wales Epilepsy Research Network, Cardiff University, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wales Epilepsy Research Network, Cardiff University, UK","institution_ids":["https://openalex.org/I79510175"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062253540","display_name":"Rhys Huw Thomas","orcid":"https://orcid.org/0000-0003-2062-8623","observed_orcids":["https://orcid.org/0000-0003-2062-8623","https://orcid.org/0000-0002-7915-8075"]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"R H Thomas","raw_affiliation_strings":["Wales Epilepsy Research Network, Cardiff University, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wales Epilepsy Research Network, Cardiff University, UK","institution_ids":["https://openalex.org/I79510175"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025625108","display_name":"Phil Smith","orcid":"https://orcid.org/0000-0002-3491-4519","observed_orcids":["https://orcid.org/0000-0002-3491-4519"]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"P E M Smith","raw_affiliation_strings":["Wales Epilepsy Research Network, Cardiff University, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wales Epilepsy Research Network, Cardiff University, UK","institution_ids":["https://openalex.org/I79510175"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I79510175"],"apc_list":null,"apc_paid":null,"fwci":0.3073,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.66829155,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"83","issue":"3","first_page":"e1.223","last_page":"e1"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pay-for-performance","display_name":"performance-based pay","score":0.9950000047683716},{"id":"https://openalex.org/keywords/quality-and-outcomes-framework","display_name":"Quality and Outcomes Framework","score":0.9520000219345093},{"id":"https://openalex.org/keywords/epilepsy-care","display_name":"epilepsy care","score":0.7940000295639038},{"id":"https://openalex.org/keywords/quality-of-primary-care","display_name":"primary care quality","score":0.6290000081062317},{"id":"https://openalex.org/keywords/gamesmanship","display_name":"gamesmanship","score":0.6570000052452087},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.7870000004768372},{"id":"https://openalex.org/keywords/asthma","display_name":"asthma","score":0.972000002861023},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9629999995231628},{"id":"https://openalex.org/keywords/wales","display_name":"Wales","score":0.421999990940094},{"id":"https://openalex.org/keywords/england","display_name":"England","score":0.9710000157356262}],"concepts":[{"id":"https://openalex.org/C2779485042","wikidata":"https://www.wikidata.org/wiki/Q7268769","display_name":"Quality and Outcomes Framework","level":3,"score":0.9880466461181641},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5445729494094849},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5163344144821167},{"id":"https://openalex.org/C2776204158","wikidata":"https://www.wikidata.org/wiki/Q7156607","display_name":"Pay for performance","level":3,"score":0.45288634300231934},{"id":"https://openalex.org/C2778186239","wikidata":"https://www.wikidata.org/wiki/Q41571","display_name":"Epilepsy","level":2,"score":0.4269176423549652},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2250414788722992},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.20328214764595032},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.15613213181495667},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.09271785616874695},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1136/jnnp-2011-301993.99","doi":"https://doi.org/10.1136/jnnp-2011-301993.99","is_oa":false,"landing_page_url":"https://doi.org/10.1136/jnnp-2011-301993.99","pdf_url":null,"source":{"id":"https://openalex.org/S134773490","display_name":"Journal of Neurology Neurosurgery & Psychiatry","issn_l":"0022-3050","issn":["0022-3050","1468-330X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurology, Neurosurgery &amp; Psychiatry","raw_type":"journal-article"},{"id":"pmh:oai:pure.atira.dk:openaire_cris_publications/8dc1e71a-8f81-43a4-9173-0fac0d3d4e65","doi":null,"is_oa":false,"landing_page_url":"https://research.birmingham.ac.uk/en/publications/8dc1e71a-8f81-43a4-9173-0fac0d3d4e65","pdf_url":null,"source":{"id":"https://openalex.org/S4306402634","display_name":"University of Birmingham Research Portal (University of Birmingham)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79619799","host_organization_name":"University of Birmingham","host_organization_lineage":["https://openalex.org/I79619799"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Glasbey, J 2012, 'Has a pay for performance strategy in primary care improved epilepsy management in the UK?', Journal of Neurology, Neurosurgery & Psychiatry, vol. 83, no. 3. https://doi.org/10.1136/jnnp-2011-301993.99","raw_type":"info:eu-repo/semantics/conferenceObject"},{"id":"pmh:oai:https://orca.cardiff.ac.uk:78457","doi":null,"is_oa":false,"landing_page_url":"https://orca.cardiff.ac.uk/id/eprint/78457/","pdf_url":null,"source":{"id":"https://openalex.org/S4306401195","display_name":"ORCA Online Research @Cardiff (Cardiff University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79510175","host_organization_name":"Cardiff University","host_organization_lineage":["https://openalex.org/I79510175"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1976555863","https://openalex.org/W2012507635","https://openalex.org/W2014477983","https://openalex.org/W2153973901","https://openalex.org/W2038731003","https://openalex.org/W2158249505","https://openalex.org/W3207504366","https://openalex.org/W2789747881","https://openalex.org/W1981884408","https://openalex.org/W2007634511"],"abstract_inverted_index":{"Introduction":[0],"The":[1],"New":[2],"GP":[3,229],"Contract":[4],"(2004)":[5],"introduced":[6],"reward":[7],"for":[8,22,54,66,71,166,248],"achievement":[9],"in":[10,117,124,131,157,173,179,197,217],"quality":[11,33],"of":[12,49,62,153],"organisation":[13],"and":[14,34,44,140,181],"disease":[15],"management.":[16],"We":[17,57],"investigated":[18],"how":[19],"a":[20,122,177,206],"pay":[21],"performance":[23],"strategy":[24],"has":[25,93,102],"affected":[26],"epilepsy":[27,50,67,195,249],"care":[28,196],"as":[29,136,231],"measured":[30],"by":[31,86],"the":[32,60,146,154,245],"outcomes":[35],"framework":[36],"(QOF).":[37],"Method":[38],"Using":[39],"QOF":[40,51,63,91,100,125,160,182,186,209,246],"datasets":[41],"from":[42,104,228],"2005":[43,97],"2010,":[45],"we":[46],"analysed":[47],"patterns":[48],"point":[52,210],"attainment":[53,92,101,211],"individual":[55],"LHBs/PCTs.":[56],"then":[58],"compared":[59],"percentage":[61,69],"points":[64,126,183],"obtained":[65,127],"with":[68],"gained":[70],"other":[72,167],"chronic":[73,168],"diseases":[74,169],"(heart":[75],"failure,":[76],"asthma,":[77],"diabetes)":[78],"to":[79,110,190,193,215,239,253],"determine":[80],"which":[81,199,236],"diseases\u2019":[82],"management":[83],"are":[84,237,250],"\u2018prioritised\u2019":[85],"GPs.":[87],"Results":[88],"In":[89],"Wales":[90,174],"significantly":[94],"risen":[95,103],"since":[96],"(p<0.0001).":[98,128],"Mean":[99],"94%":[105],"(min":[106,112],"67.9%,":[107],"max":[108,114],"100%)":[109],"98%":[111],"84.5%,":[113],"100%).":[115],"However":[116,203],"England":[118],"most":[119],"areas":[120,218],"saw":[121],"decrease":[123],"Motivated":[129],"GPs":[130,192],"resource":[132],"poor":[133],"settings":[134],"such":[135],"Blaenau":[137],"Gwent":[138],"(+26.03%),":[139],"Rhondda":[141],"Cynon":[142],"Taf":[143],"(+23.63%)":[144],"demonstrated":[145,189],"greatest":[147],"improvement":[148],"despite":[149,176],"still":[150],"having":[151],"some":[152],"lowest":[155],"scores":[156,161,165],"Wales.":[158],"Epilepsy":[159],"were":[162],"lower":[163],"than":[164],"e.g.":[170],"heart":[171],"failure":[172],"(p=0.00012),":[175],"similarity":[178],"prevalence":[180],"available.":[184],"Conclusions":[185],"can":[187],"be":[188],"motivate":[191],"prioritise":[194],"practices":[198,230],"initially":[200],"scored":[201,222],"poorly.":[202],"it":[204],"is":[205,212],"concern":[207],"that":[208,219,244],"also":[213],"seen":[214],"drop":[216],"had":[220],"previously":[221],"well.":[223],"This":[224],"may":[225],"represent":[226],"\u2018gamesmanship\u2019":[227],"they":[232],"focus":[233],"on":[234],"conditions":[235],"easiest":[238],"score":[240],"well":[241],"on\u2014or":[242],"conversely":[243],"targets":[247],"reassuringly":[251],"difficult":[252],"attain.":[254]},"counts_by_year":[{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2016-06-24T00:00:00"}