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Financial incentives linked to quality improvement projects in Swedish primary care: a model for improving quality of care.
Stockholm Region, Public Healthcare Services Committee, Stockholm, Sweden.
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Research and Development unit for Primary Care, Futurum, Jönköping, Sweden.
Stockholm Region, Public Healthcare Services Committee, Stockholm, Sweden.
2019 (English)In: BMJ open quality, ISSN 2399-6641, Vol. 8, no 2, article id e000402Article in journal (Refereed) Published
Abstract [en]

Background: Quality improvement (QI) is necessary in all healthcare, but quality of healthcare is hard to measure. To use financial incentives to improve care is difficult and may even be harmful. However, conducting QI projects is a well-established way to increase quality in healthcare.

Problem: In 2015, there were few QI projects conducted in primary care in the Stockholm Region, Sweden. There was no structured support or way to share the QI projects with other general practitioner (GP) practices. To use financial incentives could increase the number of projects performed and could possibly improve the quality of care. The aim was to increase the number of GP practices performing QI projects in the Stockholm Region through financial incentives.

Method: To study QI projects performed during 2016 and 2017 in the Region Stockholm. This was compared with 2015 in Stockholm and with the Region Jönköping in Sweden during 2016 and 2017.

Interventions: First, the healthcare administration started to reimburse GP practices for conducting and reporting QI projects in 2016. Second, a 4-hour course in QI was offered. Third, feedback on plans for QI projects was given. The year after the projects were prerformed, they were published online to stimulate sharing and inspiration between the GP practices.

Results: For 2016, there were 166 (80%) of the GP practices that presented a QI project and in 2017, 164 (79%) did so. The number of projects in Stockholm increased almost by 100 per years compared with 2015.

Conclusion: QI work has increased in Stockholm since 2016, probably because of the financial incentives from the Stockholm Region.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 8, no 2, article id e000402
Keywords [en]
financial incentives, general practice, health care quality improvement, primary care, quality improvement
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-47299DOI: 10.1136/bmjoq-2018-000402PubMedID: 31259276Local ID: GOA HHJ 2019OAI: oai:DiVA.org:hj-47299DiVA, id: diva2:1383947
Funder
Stockholm County CouncilAvailable from: 2020-01-09 Created: 2020-01-09 Last updated: 2020-01-09Bibliographically approved

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