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Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system — retrospective study |
Author(s) | Sunil M Shah, Iain M Carey, Tess Harris |
Journal title | British Medical Journal, vol 342, no 7797, 2 March 2011 |
Pages | p 587 |
Source | www.bmj.com BMJ2011;342;6912 |
Keywords | Chronic illness ; General practice ; Medical care ; Quality ; Indicators ; Residents [care homes] ; Living in the community ; Comparison. |
Annotation | Do older residents in nursing and care homes receive poorer quality of care for chronic diseases compared with residents living in the community; and are they more likely to be excluded from targets in the UK Quality of Outcomes Framework (QOF)? This is a summary of a paper published on bmj.com. in which the authors studied 10,387 residents of care homes and 403,259 community dwelling residents aged 65 to 104 registered with 326 English and Welsh general practices in 2008-9. Achievement for 14 of the 16 process quality indicators considered was lower for residents of care homes than for those living in the community, taking into account differences in age and dementia prevalence. The largest differences were for prescribing in coronary heart disease (CHD), and in monitoring of diabetes. Residents in care homes were more likely to be excluded by doctors from QOF targets. (RH). |
Accession Number | CPA-111117102 A |
Classmark | CI: L5: LK: 59: 3RI: KX: K4: 48 * |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |