{"id":"https://openalex.org/W29299553","doi":null,"title":"Quality measurement of care for people with type 2 diabetes in Tayside, Scotland: implications for the new UK general practice contract.","display_name":"Quality measurement of care for people with type 2 diabetes in Tayside, Scotland: implications for the new UK general practice contract.","publication_year":2003,"publication_date":"2003-09-01","ids":{"openalex":"https://openalex.org/W29299553","mag":"29299553","pmid":"https://pubmed.ncbi.nlm.nih.gov/15103879","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1314694"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:258759","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1314694","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC1314694","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067907002","display_name":"Bruce Guthrie","orcid":"https://orcid.org/0000-0003-4191-4880","observed_orcids":["https://orcid.org/0000-0003-4191-4880"]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Bruce Guthrie","raw_affiliation_strings":["Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk","institution_ids":["https://openalex.org/I98677209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034872013","display_name":"Alistair M Emslie-Smith","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Alistair Emslie-Smith","raw_affiliation_strings":["Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk","institution_ids":["https://openalex.org/I98677209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085455108","display_name":"Andrew Mark Morris","orcid":"https://orcid.org/0000-0001-9173-9641","observed_orcids":["https://orcid.org/0000-0001-9173-9641"]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Andrew Morris","raw_affiliation_strings":["Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk","institution_ids":["https://openalex.org/I98677209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009156847","display_name":"Tom P Fahey","orcid":"https://orcid.org/0000-0002-5896-5783","observed_orcids":["https://orcid.org/0000-0002-5896-5783"]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tom Fahey","raw_affiliation_strings":["Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk","institution_ids":["https://openalex.org/I98677209"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070554877","display_name":"Frank Sullivan","orcid":"https://orcid.org/0000-0002-6623-4964","observed_orcids":["https://orcid.org/0000-0002-6623-4964","https://orcid.org/0000-0001-5111-5383"]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Frank Sullivan","raw_affiliation_strings":["Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX. b.guthrie@ed.ac.uk","institution_ids":["https://openalex.org/I98677209"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I98677209"],"apc_list":null,"apc_paid":null,"fwci":3.0435,"has_fulltext":true,"cited_by_count":17,"citation_normalized_percentile":{"value":0.90922693,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"53","issue":"494","first_page":"709","last_page":"13"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9970999956130981,"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":0.9970999956130981,"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/T12871","display_name":"Healthcare Quality and Management","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.00039999998989515007,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9810000061988831},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.8240000009536743},{"id":"https://openalex.org/keywords/general-practice-contract","display_name":"general practice contract","score":0.8169999718666077},{"id":"https://openalex.org/keywords/risk-adjustment","display_name":"risk adjustment","score":0.9200000166893005},{"id":"https://openalex.org/keywords/quality-indicators","display_name":"quality indicators","score":0.546999990940094},{"id":"https://openalex.org/keywords/practice-size","display_name":"practice size","score":0.5490000247955322},{"id":"https://openalex.org/keywords/hospital-visits","display_name":"hospital visits","score":0.6930000185966492},{"id":"https://openalex.org/keywords/performance-measurement","display_name":"performance measurement","score":0.35600000619888306},{"id":"https://openalex.org/keywords/integrated-care","display_name":"integrated care","score":0.5899999737739563},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.33899998664855957},{"id":"https://openalex.org/keywords/tayside","display_name":"Tayside","score":0.8169999718666077}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6799929141998291},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.658187985420227},{"id":"https://openalex.org/C88579808","wikidata":"https://www.wikidata.org/wiki/Q1046955","display_name":"Case mix index","level":2,"score":0.6461113691329956},{"id":"https://openalex.org/C2779485042","wikidata":"https://www.wikidata.org/wiki/Q7268769","display_name":"Quality and Outcomes Framework","level":3,"score":0.6035875678062439},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5294394493103027},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.5124343037605286},{"id":"https://openalex.org/C2781332184","wikidata":"https://www.wikidata.org/wiki/Q7156780","display_name":"Payment by Results","level":2,"score":0.5073007941246033},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5037559866905212},{"id":"https://openalex.org/C2778173179","wikidata":"https://www.wikidata.org/wiki/Q25339289","display_name":"Attendance","level":2,"score":0.4997591972351074},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4397278428077698},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.42376866936683655},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.36488276720046997},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34375467896461487},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3158876299858093},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.30275291204452515},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2129409909248352},{"id":"https://openalex.org/C2781318095","wikidata":"https://www.wikidata.org/wiki/Q33127638","display_name":"General practice","level":2,"score":0.20956051349639893},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.14830636978149414},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.13938382267951965},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.09825745224952698},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012606","descriptor_name":"Scotland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"pmh:oai:europepmc.org:258759","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1314694","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:15103879","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15103879","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of general practice : the journal of the Royal College of General Practitioners","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1314694","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1314694/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Br J Gen Pract","raw_type":"Text"},{"id":"pmh:oai:discovery.dundee.ac.uk:openaire_cris_publications/a6ce6b75-acff-40e0-b1d9-b7173c7800af","doi":null,"is_oa":true,"landing_page_url":"https://discovery.dundee.ac.uk/en/publications/a6ce6b75-acff-40e0-b1d9-b7173c7800af","pdf_url":"https://bjgp.org/content/bjgp/53/494/709.full.pdf","source":{"id":"https://openalex.org/S4306400523","display_name":"Discovery Research Portal (University of Dundee)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I177639307","host_organization_name":"University of Dundee","host_organization_lineage":["https://openalex.org/I177639307"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Guthrie, B, Emslie-Smith, A, Morris, A, Fahey, T & Sullivan, F 2003, 'Quality measurement of care for people with type 2 diabetes in Tayside, Scotland : implications for the new UK general practice contract', British Journal of General Practice, vol. 53, no. 494, pp. 709-713. < https://bjgp.org/content/53/494/709 >","raw_type":"info:eu-repo/semantics/article"},{"id":"mag:29299553","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15103879","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:258759","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1314694","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8199999928474426},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.4000000059604645}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W29299553.pdf","grobid_xml":"https://content.openalex.org/works/W29299553.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1552051186","https://openalex.org/W1596043492","https://openalex.org/W2000238607","https://openalex.org/W2018772771","https://openalex.org/W2084358591","https://openalex.org/W2110519984","https://openalex.org/W2117186085","https://openalex.org/W2140053673","https://openalex.org/W2155130216","https://openalex.org/W2157989632"],"related_works":["https://openalex.org/W2132111673","https://openalex.org/W2161711963","https://openalex.org/W2111056535","https://openalex.org/W2080054984","https://openalex.org/W6995610526","https://openalex.org/W2146892203","https://openalex.org/W2148168171","https://openalex.org/W1603942167","https://openalex.org/W1893871666","https://openalex.org/W2022208579"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,234],"new":[2,175,199,239],"United":[3],"Kingdom":[4],"general":[5,15],"practice":[6],"contract":[7,176,200],"proposes":[8],"that":[9,134],"up":[10,112,118],"to":[11,35,47,113,119,145,159,212,216],"a":[12,57,209],"third":[13],"of":[14,32,45,88,125,181,224,231,237,247],"practitioners'":[16],"income":[17],"will":[18],"come":[19],"from":[20,56,143],"achieving":[21],"quality":[22,28,46,177,249],"targets.":[23],"AIM:":[24],"To":[25],"examine":[26,242],"selected":[27],"markers":[29],"in":[30,42,63,73,129,165,191],"terms":[31],"their":[33],"robustness":[34],"case-mix":[36],"variation":[37],"and":[38,41,105,169,207,226,229,245,251],"chance":[39,131,182],"effects,":[40,183],"the":[43,91,174,198,222,227,238,243,248],"attribution":[44],"practices.":[48,155],"STUDY":[49],"DESIGN":[50],"AND":[51],"METHODS:":[52],"Data":[53],"were":[54],"extracted":[55],"population-based":[58],"diabetes":[59,71],"clinical":[60],"information":[61],"system":[62],"Tayside,":[64],"Scotland,":[65],"for":[66,90,102,140,204],"patients":[67,215],"with":[68,76],"type":[69],"2":[70],"registered":[72],"67":[74],"practices":[75,81,142,185],"complete":[77],"ascertainment.":[78],"RESULTS:":[79],"Most":[80],"would":[82],"have":[83,187],"received":[84],"relatively":[85],"high":[86],"levels":[87],"payment":[89,116],"process":[92],"measures":[93,96],"examined.":[94],"Outcome":[95],"appeared":[97],"more":[98,214],"challenging.":[99],"Case-mix":[100,157],"adjustment":[101,158],"age,":[103],"sex,":[104],"postcode-assigned":[106],"deprivation":[107],"altered":[108],"measured":[109],"performance":[110,167],"by":[111,117],"7%,":[114],"but":[115,151],"14%.":[120],"Despite":[121],"no":[122,202],"strong":[123],"evidence":[124],"any":[126],"real":[127],"difference":[128],"quality,":[130],"effects":[132],"meant":[133],"there":[135],"was":[136,149],"greater":[137,188],"apparent":[138],"variability":[139,190],"smaller":[141,184],"year":[144],"year.":[146],"Hospital":[147],"attendance":[148],"common,":[150],"highly":[152],"variable":[153],"between":[154,221],"CONCLUSION:":[156],"allow":[160],"fairer":[161],"comparison":[162],"is":[163],"routine":[164],"national":[166],"indicators,":[168],"ignoring":[170],"it":[171],"risks":[172],"making":[173],"framework":[178],"inequitable.":[179],"Because":[180],"may":[186],"year-to-year":[189],"income.":[192],"Reflecting":[193],"National":[194],"Health":[195],"Service":[196],"structure,":[197],"provides":[201],"incentives":[203],"integrated":[205],"care":[206],"offers":[208],"perverse":[210],"incentive":[211],"refer":[213],"hospital.":[217],"There":[218],"are":[219],"trade-offs":[220],"validity":[223],"measures,":[225],"cost":[228],"bureaucracy":[230],"collecting":[232],"data.":[233],"planned":[235],"evaluation":[236],"contrast":[240],"should":[241],"effectiveness":[244],"equity":[246],"framework,":[250],"rapidly":[252],"act":[253],"on":[254],"deficiencies":[255],"found.":[256]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}