European Journal of Clinical Pharmacology

, Volume 70, Issue 3, pp 303–311

Compliance with quality prescribing indicators linked to financial incentives: what about not incentivized indicators?: an observational study

  • R. Fernández Urrusuno
  • P. Pérez Pérez
  • M. C. Montero Balosa
  • C. Márquez Calzada
  • B. Pascual de la Pisa
Pharmacoepidemiology and Prescription

DOI: 10.1007/s00228-013-1610-9

Cite this article as:
Fernández Urrusuno, R., Pérez Pérez, P., Montero Balosa, M.C. et al. Eur J Clin Pharmacol (2014) 70: 303. doi:10.1007/s00228-013-1610-9

Abstract

Objective

The aims of this study were to investigate whether general practitioners (GPs) who complied with quality prescribing indicators included in the pay-for-performance programmes also complied with quality prescribing indicators which are not linked to incentives and to compare the prescribing behaviour between those GPs who showed compliance with quality prescribing indicators linked to financial incentives and those who did not.

Design and methodology

This was a descriptive cross-sectional study which was conducted in 2007 in the Aljarafe Primary Care Area (Andalusia, Spain) and involved 37 Health Care Centres and 176 GPs. The main outcome was the results of a comparison of six quality prescribing indicators linked to incentives and 14 quality prescribing indicators not linked to incentives. The chi-square test was used to compare qualitative variables. Quantitative variables were tested using Student’s t test upon confirmation of normality.

Results

Those GPs showing compliance with the indicators included in the pay-for performance programme showed low levels of compliance with quality prescribing indicators that were unincentivised. With respect to compliance with the indicators not linked to financial incentives, we found no statistical difference between GPs who showed compliance with incentivised indicators (n = 57) and those showing non-compliance (n = 112) in terms of drug selection, with the exception of the selection of second- and third-line antibiotics and antihistamines, nor in terms of the appropriate use of drugs linked to patient’s clinical conditions.

Conclusions

The compliance of GPs showing compliance with quality prescribing indicators included in pay-for-performance programmes was not better than that of those who showed no compliance with other relevant quality prescribing indicators not linked to financial incentives.

Keywords

Primary care Quality prescribing indicators Financial incentives Pay-for-performance programs 

Supplementary material

228_2013_1610_MOESM1_ESM.doc (103 kb)
ESM 1(DOC 103 kb)

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • R. Fernández Urrusuno
    • 1
    • 2
  • P. Pérez Pérez
    • 1
  • M. C. Montero Balosa
    • 1
  • C. Márquez Calzada
    • 1
  • B. Pascual de la Pisa
    • 1
  1. 1.Service of PharmacyAljarafe-Sevilla Norte Primary Health Care AreaMairena del AljarafeSpain
  2. 2.Distrito Sanitario Aljarafe-Sevilla NorteMairena del AljarafeSpain

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