Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Smokers given more help to quit since GP performance pay introduced, says new study

06.06.2007
Smokers have been getting more support for quitting, and the numbers of smokers have reduced, since the introduction of performance-related incentives for UK general practitioners, according to new research published on 4 June in the Canadian Medical Association Journal.

"Pay for performance" incentives, introduced in April 2004, mean that general practitioners are paid more if they succeed in meeting performance targets set by the government.

The research team from Imperial College London looked at patients with diabetes, registered in Wandsworth, South London. They found that the percentage of smokers with diabetes who were given cessation advice by primary care staff increased from 48% to 84% between 2003 and 2005. More patients with diabetes had their smoking status recorded in 2005 (99%) than in 2003 (91%). The percentage of people with diabetes who smoked decreased from 20% in 2003 to 16% in 2005.

Under "pay-for-performance," practices are judged against 146 quality indicators, as part of the new GP contract introduced in 2004. Several of these quality indicators encourage GPs to identify people with a chronic disease, such as diabetes or heart disease, who smoke and provide advice and support to help them quit smoking. About one quarter of GP income is currently derived through meeting quality targets in the treatment of such chronic diseases.

Previous studies had showed that GPs were not routinely offering cessation advice during consultations, in spite of evidence showing that it improves quit rates, because some found it too time-consuming, considered it to be ineffectual, or felt that they lacked the appropriate skills.

The researchers' findings suggest that the new incentive scheme is likely to be a key contributor to changes in help offered to smokers.

However, they caution that some of the improvements seen may have occurred without the introduction of financial incentives.

Christopher Millett, one of the authors from the study from the Department of Primary Care and Social Medicine at Imperial College London, said: "Financial incentives introduced in UK primary care appear to have increased cessation advice being given by primary care staff and reduced the percentage of people with diabetes who smoke.

"Improvements were generally greatest in the groups with the poorest performance before these incentives were introduced and among ethnic minorities - populations that often receive lower quality care.

"Supporting people with diabetes to quit smoking is very important because they are at an increased risk of developing cardiovascular disease" he added.

Deborah Arnott, Director of the health-campaigning charity ASH, commented: "This study backs up what we've always known, that patients listen to advice from their doctors. Unfortunately GPs are only currently being funded to give advice to stop smoking to patients who have already developed smoking-related diseases. GPs should be giving this advice to all smokers, before they develop specific smoking-related diseases. That's what the NICE (National Institute for Health and Clinical Excellence) guidance says, and that's what would be best for smokers and best for the NHS."

Laura Gallagher | alfa
Further information:
http://www.imperial.ac.uk

More articles from Studies and Analyses:

nachricht Multi-year study finds 'hotspots' of ammonia over world's major agricultural areas
17.03.2017 | University of Maryland

nachricht Diabetes Drug May Improve Bone Fat-induced Defects of Fracture Healing
17.03.2017 | Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Giant Magnetic Fields in the Universe

Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.

The results will be published on March 22 in the journal „Astronomy & Astrophysics“.

Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...

Im Focus: Tracing down linear ubiquitination

Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.

Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...

Im Focus: Perovskite edges can be tuned for optoelectronic performance

Layered 2D material improves efficiency for solar cells and LEDs

In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...

Im Focus: Polymer-coated silicon nanosheets as alternative to graphene: A perfect team for nanoelectronics

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...

Im Focus: Researchers Imitate Molecular Crowding in Cells

Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to simulate these confined natural conditions in artificial vesicles for the first time. As reported in the academic journal Small, the results are offering better insight into the development of nanoreactors and artificial organelles.

Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

International Land Use Symposium ILUS 2017: Call for Abstracts and Registration open

20.03.2017 | Event News

CONNECT 2017: International congress on connective tissue

14.03.2017 | Event News

ICTM Conference: Turbine Construction between Big Data and Additive Manufacturing

07.03.2017 | Event News

 
Latest News

Argon is not the 'dope' for metallic hydrogen

24.03.2017 | Materials Sciences

Astronomers find unexpected, dust-obscured star formation in distant galaxy

24.03.2017 | Physics and Astronomy

Gravitational wave kicks monster black hole out of galactic core

24.03.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>