{"id":1039,"date":"2015-01-30T22:00:10","date_gmt":"2015-01-30T21:00:10","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/adc\/?p=1039"},"modified":"2015-01-18T20:00:54","modified_gmt":"2015-01-18T19:00:54","slug":"can-we-incentivise-improvements-in-child-health-part-2","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/adc\/2015\/01\/30\/can-we-incentivise-improvements-in-child-health-part-2\/","title":{"rendered":"Can we incentivise improvements in child health? (Part 2)"},"content":{"rendered":"

\"\"<\/a>In an earlier post, I entered a world of capitation, fee-for-service, block contracting and incentivisation, all ways of levering people to ‘do the right thing’, and ending by asking how to know what the ‘right thing’ was.<\/p>\n

We could do this a number of ways – we can ask people<\/a>; we can measure universally agreed ‘good’ things (mortality is a pretty strong candidate), or we could measure processes or surrogates<\/a>. In primary care in the UK the current financial incentivisation scheme devotes 3% (yes – three) to children and young people; but a rather nice piece of work from Peter Gill and friends has come up with a series of other ‘measures’<\/a> that might be effective and meaningful and get things done even better.<\/p>\n

<\/p>\n

The group garnered their raw potential measures from a series of well-conducted guidelines and then sieved them with a range of experts (expert in children in primary care and evidence-based practice) to develop 35 potentially routinely collectable items to place ‘incentives’ upon. For general practice, we’ve moderate evidence that financial incentives are effective when a condition is poorly managed,<\/a> so it’s not a bad idea. Their lists included Mental health, ADHD, Asthma, Eczema, Epilepsy, Developmental assessment, Safeguarding issues, Obesity and Colic.<\/p>\n

Now, they note:<\/p>\n

\nThe main weakness of the process was that the only stakeholders consulted were GPs.\n<\/p><\/blockquote>\n

How about using this blog, via comments, and perhaps an unscientific letter to follow-up their sterling work, to let them know what\u00a0the wider child health community thinks about it?<\/p>\n

– Bob Phillips<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

In an earlier post, I entered a world of capitation, fee-for-service, block contracting and incentivisation, all ways of levering people to ‘do the right thing’, and ending by asking how to know what the ‘right thing’ was. We could do this a number of ways – we can ask people; we can measure universally agreed […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2681],"tags":[],"class_list":["post-1039","post","type-post","status-publish","format-standard","hentry","category-practice-of-medicine"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/1039","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=1039"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/1039\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=1039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=1039"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=1039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}