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Ethnic Disparities in Diabetes Management and Pay-for-Performance in the UK: The Wandsworth Prospective Diabetes Study

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  • Christopher Millett
  • Jeremy Gray
  • Sonia Saxena
  • Gopalakrishnan Netuveli
  • Kamlesh Khunti
  • Azeem Majeed

Abstract

Background: Pay-for-performance rewards health-care providers by paying them more if they succeed in meeting performance targets. A new contract for general practitioners in the United Kingdom represents the most radical shift towards pay-for-performance seen in any health-care system. The contract provides an important opportunity to address disparities in chronic disease management between ethnic and socioeconomic groups. We examined disparities in management of people with diabetes and intermediate clinical outcomes within a multiethnic population in primary care before and after the introduction of the new contract in April 2004. Methods and Findings: We conducted a population-based longitudinal survey, using electronic general practice records, in an ethnically diverse part of southwest London. Outcome measures were prescribing levels and achievement of national treatment targets (HbA1c ≤ 7.0%; blood pressure [BP]

Suggested Citation

  • Christopher Millett & Jeremy Gray & Sonia Saxena & Gopalakrishnan Netuveli & Kamlesh Khunti & Azeem Majeed, 2007. "Ethnic Disparities in Diabetes Management and Pay-for-Performance in the UK: The Wandsworth Prospective Diabetes Study," PLOS Medicine, Public Library of Science, vol. 4(6), pages 1-7, June.
    • Handle: RePEc:plo:pmed00:0040191
    DOI: 10.1371/journal.pmed.0040191
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