The QOF, NICE, and depression: a clumsy mechanism that undermines clinical judgment.
نویسنده
چکیده
منابع مشابه
Did NICE guidelines and the Quality Outcomes Framework change GP antidepressant prescribing in England? Observational study with time trend analyses 2003-2013.
BACKGROUND Both the 2004 NICE depression guidelines and 2006 general practice Quality Outcomes Framework (QOF) encouraged improved targeting of antidepressant treatment for depression. METHODS Possible effects of the NICE guideline from January 2005, and QOF from April 2006, on rates of GP antidepressant prescribing were examined using time trend analyses of anonymised data from 142 English p...
متن کاملImpact of the QOF and the NICE guideline in the diagnosis and management of depression: a qualitative study.
BACKGROUND The National Institute for Health and clinical Excellence (NICE) depression guideline (2004) and the updated Quality and Outcomes Framework (QOF) (2006) in general practice have introduced the concepts of screening severity assessment, for example using the Patient Health Questionnaire 9 (PHQ-9), and 'stepped care' for depression. AIM To explore primary care practitioner perspectiv...
متن کاملNICE and the Quality and Outcomes Framework (QOF) 2009-2011.
The National Institute for Health and Clinical Excellence (NICE) has been responsible for managing the process of developing new clinical and health improvement indicators for the United Kingdom (UK) Quality and Outcomes Framework (QOF) and reviewing the current QOF clinical indicator set since April 2009. This paper sets out in detail the NICE-led process for QOF indicator development and des...
متن کاملThe QOF, NICE, and depression.
I feel Imust raisemyheadabove theparapet. I was a member of the mental health group that helped develop the indicators for the depression QOF. There, I have admitted it! Professor Toop1 has made several errors that need correcting. The first two depression indicators (DEP1 and DEP2) were introduced in 2006, after the publication of the NICE guidelines (CG23) on depression. The indicator (DEP1) ...
متن کاملDeveloping Quality and Outcomes Framework (QOF) indicators and the concept of 'QOFability'.
This paper explains the reasons and context behind the introduction of the Quality and Outcomes Framework (QOF) in the UK in April 2004. The QOF is a pay-for-performance scheme covering a range of clinical and organisational areas in primary care. In 2004, 52% of the framework related to clinical care, increasing to 66% in 2006 and 70% in 2009. From April 2009, the National Institute for Health...
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ورودعنوان ژورنال:
- The British journal of general practice : the journal of the Royal College of General Practitioners
دوره 61 588 شماره
صفحات -
تاریخ انتشار 2011