Impact of financial incentives to improve quality indicators in diabetes patients

Institute of Primary Care0 个研究点目标入组 71 人开始时间: 2018年3月20日最近更新: 2023年5月29日

适应症

试验速览

2018 Protocol article in https://pubmed.ncbi.nlm.nih.gov/29961043/ protocol 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33904045/ (added 28/04/2021) 2021 Results article in https://doi.org/10.3389/fmed.2021.664510 Follow up analysis (added 19/05/2023)

•Up to December 2017, 290 GPs from 14 German speaking cantons of Switzerland participated in the FIRE project. In December 2017, the database contained data of 3,372,343 encounters of 345,811 patients. The FIRE database, consisting of administrative data, vital signs (blood pressure), lab values (Hba1c), diagnostic codes (ICPC-2), and medication data (ATC codes) provides the database for the project. Structural data on participating GP practices (physicians’ age and training, practice type (single-handed, double or group practice) and location, laboratory connection) are collected at individual FIRE project entry.
•PCPs are eligible for the current study based on the FIRE database, if the dataset of 2017 is complete and a minimum threshold of 0.1 is achieved for the process indicators HbA1c and blood pressure, to rule out technical problems.
•Of the eligible PCPs, primary care patients with diabetes mellitus will be identified from the FIRE database according to the following criteria:
•1. Patient with ICPC-2 codes T89 (insulin dependent diabetes mellitus) and T90 (insulin independent diabetes mellitus)
•2. Patients with antidiabetic medication (oral antidiabetics and/or insulin) according to the pharmaceutical cost group (PCG) (A10A/A10B)

•Incomplete data set of 2017 and/or a minimum threshold of 0.1 is not achieved for the process indicators HbA1c and blood pressure

发起方

Institute of Primary Care