The quality of chronic disease care under the GP performance related pay system – the quality and outcomes framework – is poorer for care homes residents than those living in the community, according to a BMJ study.
Researchers compared data on 10,387 care home and 403,259 community residents with long term conditions, finding GPs were less likely to meet relevant quality targets for care home residents.
The largest differences were for cardiovascular prescribing and diabetes monitoring.
The authors argue that QOF should include measures more relevant to care homes residents such as pain management, falls and continence care.
Shah SM, et al. Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system: retrospective study. BMJ 2011; Advance online publication.
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