The payment for performance model and its influence on British general practitioners' principles and practice.

Models of clinical reasoning with a focus on general practice: a critical review

Introduction: Diagnosis lies at the heart of general practice.Every day general practitioners (GPs) visit patients with awide variety of complaints and concerns, with often minor butsometimes serious symptoms. General practice has many featureswhich differentiate it from specialty care setting, but during thelast four decades little attention was paid to clinical reasoningin general practice. T...

Principles of the ‘Lingua Franca Approach’ and their implications for pedagogical practice in the Iranian context

AbstractThe last thirty five years have created a challenging situation for Iran and its people: on the one hand, the discriminatory British and American policies towards the country have given rise to considerable bitterness; on the other, we continue to teach both British and American English. If Iranian people wish to play a more active role internationally, it is time to review our English ...

Workload and reward in the Quality and Outcomes Framework of the 2004 general practice contract.

BACKGROUND The Quality and Outcomes Framework (QOF) of the 2004 UK General Medical Services (GMS) contract links up to 20% of practice income to performance measured against 146 quality indicators. AIM To examine the distribution of workload and payment in the clinical domains of the QOF, and to compare payment based on true prevalence to the implemented system applying an adjusted prevalence...

Payment for performance and the QOF: are we doing the right thing?

RISQy business (Relationships, Incentives, Supports, and Quality): evolution of the British Columbia Model of Primary Care (patient-centered medical home).

In 2002, the British Columbia Ministry of Health and the British Columbia Medical Association (now Doctors of BC) came together to form the British Columbia General Practice Services Committee to bring about transformative change in primary care in British Columbia, Canada. This committee's approach to primary care was to respond to an operational problem--the decline of family practice in Brit...