IDEAS home Printed from https://ideas.repec.org/a/plo/pmen00/0000185.html
   My bibliography  Save this article

Primary care health screening in patients with severe mental illness: What influence do financial incentives have?

Author

Listed:
  • Eugenia Romano
  • Ruimin Ma
  • Giovanni Sala
  • Mark Ashworth
  • Gayan Perera
  • Robert Stewart
  • Brendon Stubbs

Abstract

The Quality-of-Care Framework (QOF) aims to improve patient care for at risk groups through financial incentivisation. This study assesses the effect of changes in incentivisation of four health indicators for people with severe mental illness (SMI) on their recording versus controls. 9,250 patients with SMI aged >18 from South London and 12,729 controls were included using linked primary and mental healthcare records between 2006–2020. Mixed effect logistic regression controlling for age, gender, and neighbourhood deprivation estimated effects of incentivisation on health indicators in SMI and controls, and compared periods with/without incentivisation within the SMI sample and between SMI diagnostic groups. SMI patients overall were more likely than controls to be checked for all health indicators, and incentivisation was associated with increases in all screening measures in SMI compared to controls. In SMI patients, compared to pre-incentivisation, the likelihood of being checked increased overall (ranging from OR = 1.48 p

Suggested Citation

  • Eugenia Romano & Ruimin Ma & Giovanni Sala & Mark Ashworth & Gayan Perera & Robert Stewart & Brendon Stubbs, 2025. "Primary care health screening in patients with severe mental illness: What influence do financial incentives have?," PLOS Mental Health, Public Library of Science, vol. 2(5), pages 1-10, May.
    • Handle: RePEc:plo:pmen00:0000185
    DOI: 10.1371/journal.pmen.0000185
    as

    Download full text from publisher

    File URL: https://journals.plos.org/mentalhealth/article?id=10.1371/journal.pmen.0000185
    Download Restriction: no
    File URL: https://journals.plos.org/mentalhealth/article/file?id=10.1371/journal.pmen.0000185&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pmen.0000185?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pmen00:0000185. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: mentalhealth (email available below). General contact details of provider: https://journals.plos.org/mentalhealth/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.