UNASSIGNED: Objective A pay-for-performance (P4P) programme for primary care was introduced in 2011 by a Swedish county (with 1.6 million inhabitants). Effects on register entry practice and comparability of data for @entity1 with @entity6 were assessed. Design and setting Observational study analysing short-term outcomes before and after introduction of a P4P programme in the study county as compared with a reference county. Subjects A total of 84 053 @entity1 reported to the National @entity6 Register by 349 primary care units. Main outcome measures Completeness of data, level and target achievement of glycated haemoglobin (HbA1c), blood pressure (BP), and LDL @entity165 (LDL). Results In the study county, newly recruited @entity1 who were entered during the incentive programme were less well controlled than existing @entity1 in the register - they had higher HbA1c (54.9 [54.5-55.4] vs. 53.7 [53.6-53.9] mmol/mol), BP, and LDL. The percentage of @entity1 with entry of BP, HbA1c, LDL, @entity633 , and smoking increased in the study county but not in the reference county (+26.3% vs -1.5%). In the study county, with an incentive for BP   <   130/80   mmHg, BP data entry behaviour was altered with an increased preference for sub-target BP values and a decline in zero end-digit readings (38.3% vs. 33.7%, p   <   0.001). Conclusion P4P led to increased register entry, increased completeness of data, and altered BP entry behaviour. Analysis of newly added @entity1 and data shows that missing @entity1 and data can cause performance to be overestimated. Potential effects on reporting quality should be considered when designing payment programmes. Key points A pay-for-performance programme, with a focus on data entry, was introduced in a primary care region in Sweden. Register data entry in the National @entity6 Register increased and registration behaviour was altered, especially for blood pressure. Newly entered @entity1 and data during the incentive programme were less well controlled. Missing data in a quality register can cause performance to be overestimated.

Short-term effects of a pay-for-performance programme for XXXX in a primary care setting: an observational study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity165 :: ('MESH:D002784', 'Chemical') :: ['cholesterol'] @entity633 :: ('MESH:D000419', 'Disease') :: ['albuminuria'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes', 'diabetes mellitus']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes']
