Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study.
BMJ Open
; 9(11): e030624, 2019 11 07.
Article
in En
| MEDLINE
| ID: mdl-31699726
ABSTRACT
OBJECTIVE:
To explore the relationship between general practice capitation funding and quality ratings based on general practice inspections.DESIGN:
Cross-sectional study pooling 3 years of primary care administrative data.SETTING:
UK primary care.PARTICIPANTS:
7310 practices (95% of all practices) in England which underwent Care Quality Commission (CQC) inspections between November 2014 and December 2017. MAIN OUTCOMEMEASURES:
CQC ratings. Ordered logistic regression methods were used to predict the relationship between practice capitation funding and CQC ratings in each of five domains of quality caring, effective, responsive, safe and well led, together with an overall practice rating.RESULTS:
Higher capitation funding per patient was significantly associated with higher CQC ratings across all five quality domains caring (OR 1.14, 95% CI 1.04 to 1.23), effective (OR 1.08, 95% CI 1.00 to 1.16), responsive (OR 1.09, 95% CI 1.02 to 1.17), safe (OR 1.11, 95% CI 1.05 to 1.18), well led (OR 1.13, 95% CI 1.06 to 1.20) and overall rating (OR 1.13, 95% CI 1.06 to 1.19).CONCLUSION:
Higher capitation funding was consistently associated with higher ratings across all CQC domains and in the overall practice rating. This study suggests that measured dimensions of the quality of care are related to the underlying capitation funding allocated to each general practice, implying that additional capitation funding may be associated with higher levels of primary care quality.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Primary Health Care
/
Quality of Health Care
/
State Medicine
/
Capitation Fee
/
Family Practice
/
Financial Management
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Equity_inequality
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
BMJ Open
Year:
2019
Document type:
Article
Affiliation country:
United kingdom