Add wos sample results library

02-data/intermediate/wos_sample/d0b1157d75f0f5b1889a5710d2e855ce-glidewell-liz-and-w/info.yaml

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+abstract: 'Background: Socioeconomic deprivation is associated with inequalities in
+
+  health care and outcomes. Despite concerns that the Quality and Outcomes
+
+  Framework pay-for-performance scheme in the UK would exacerbate
+
+  inequalities in primary care delivery, gaps closed over time. Local
+
+  schemes were promoted as a means of improving clinical engagement by
+
+  addressing local health priorities. We evaluated equity in achievement
+
+  of target indicators and practice income for one local scheme.
+
+  Methods: We undertook a longitudinal survey over four years of routinely
+
+  recorded clinical data for all 83 primary care practices. Sixteen
+
+  indicators were developed that covered five local clinical and public
+
+  health priorities: weight management; alcohol consumption; learning
+
+  disabilities; osteoporosis; and chlamydia screening. Clinical indicators
+
+  were logit transformed from a percentage achievement scale and modelled
+
+  allowing for clustering of repeated measures within practices. This
+
+  enabled our study of target achievements over time with respect to
+
+  deprivation. Practice income was also explored.
+
+  Results: Higher practice deprivation was associated with poorer
+
+  performance for five indicators: alcohol use registration (OR 0.97; 95
+
+  \% confidence interval 0.96,0.99); recorded chlamydia test result (OR
+
+  0.97; 0.94,0.99); osteoporosis registration (OR 0.98; 0.97,0.99);
+
+  registration of repeat prednisolone prescription (OR 0.98; 0.96,0.99);
+
+  and prednisolone registration with record of dual energy X-ray
+
+  absorptiometry (DEXA) scan/referral (OR 0.92; 0.86,0.97); practices in
+
+  deprived areas performed better for one indicator (registration of
+
+  osteoporotic fragility fracture (OR 1.26; 1.04,1.51). The
+
+  deprivation-achievement gap widened for one indicator (registered
+
+  females aged 65-74 with a fracture referred for a DEXA scan; OR 0.97;
+
+  0.95,0.99). Two other indicators indicated a similar trend over two
+
+  years before being withdrawn (registration of fragility fracture and
+
+  over-75 s with a fragility fracture assessed and treated for
+
+  osteoporosis risk). For one indicator the deprivation-achievement gap
+
+  reduced over time (repeat prednisolone prescription (OR 1.01;
+
+  1.01,1.01). Larger practices and those serving more affluent areas
+
+  earned more income per patient than smaller practices and those serving
+
+  more deprived areas (t = -3.99; p = 0.0001).
+
+  Conclusions: Any gaps in achievement between practices were modest but
+
+  mostly sustained or widened over the duration of the scheme. Given that
+
+  financial rewards may not reflect the amount of work undertaken by
+
+  practices serving more deprived patients, future pay-for-performance
+
+  schemes also need to address fairness of rewards in relation to
+
+  workload.'
+affiliation: 'Hackett, JEC (Corresponding Author), Univ Leeds, Leeds Inst Hlth Sci,
+  Charles Thackrah Bldg,101 Clarendon Rd, Leeds, W Yorkshire, England.
+
+  Glidewell, Liz; West, Robert; Hackett, Julia E. C.; Foy, Robbie, Univ Leeds, Leeds
+  Inst Hlth Sci, Leeds, W Yorkshire, England.
+
+  Carder, Paul, Yorkshire \& Humber Commissioning Support Unit, Bradford, W Yorkshire,
+  England.
+
+  Doran, Tim, Univ York, Dept Hlth Sci, York YO10 5DD, N Yorkshire, England.'
+article-number: '61'
+author: Glidewell, Liz and West, Robert and Hackett, Julia E. C. and Carder, Paul
+  and Doran, Tim and Foy, Robbie
+author-email: j.e.hackett@leeds.ac.uk
+author_list:
+- family: Glidewell
+  given: Liz
+- family: West
+  given: Robert
+- family: Hackett
+  given: Julia E. C.
+- family: Carder
+  given: Paul
+- family: Doran
+  given: Tim
+- family: Foy
+  given: Robbie
+da: '2023-09-28'
+doi: 10.1186/s12875-015-0279-9
+eissn: 1471-2296
+files: []
+journal: BMC FAMILY PRACTICE
+keywords: Primary health care; Social deprivation; Pay-for-performance
+keywords-plus: 'GENERAL-PRACTICE; OUTCOMES FRAMEWORK; QUALITY; PERFORMANCE; PAY; UK;
+
+  INDICATORS; IMPACT'
+language: English
+month: MAY 14
+number-of-cited-references: '31'
+orcid-numbers: 'Glidewell, Liz/0000-0003-2519-2654
+
+  Glidewell, Liz/0000-0003-2519-2654
+
+  Foy, Robbie/0000-0003-0605-7713
+
+  carder, paul/0000-0002-7940-6016'
+papis_id: 774ff2e0c72b936f0c70b9eb700f99fc
+ref: Glidewell2015doeslocal
+researcherid-numbers: 'Glidewell, Liz/N-8832-2019
+
+  Glidewell, Liz/G-7338-2011
+
+  '
+times-cited: '5'
+title: Does a local financial incentive scheme reduce inequalities in the delivery
+  of clinical care in a socially deprived community? A longitudinal data analysis
+type: Article
+unique-id: WOS:000354834500002
+usage-count-last-180-days: '0'
+usage-count-since-2013: '10'
+volume: '16'
+web-of-science-categories: Primary Health Care; Medicine, General \& Internal
+year: '2015'