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Table 3 Achievement on clinical process and outcome indicators over timea

From: Does a local financial incentive scheme reduce inequalities in the delivery of clinical care in a socially deprived community? A longitudinal data analysis

Clinical Area

Indicator

Achievement

Year 1 2007-08

Year 2 2008-09

Year 3 2009-10

Year 4 2010-11

Weight management

BMI register >25 recorded within 5 years

Mean percentage achievement (SD)

32.7 (7.7)

36.4 (7.4)

38.7 (9.5)

NA

Mean practices in more deprived areas

31.2 (8.2)

34.9 (7.6)

36.7 (11.2)

(−)

Mean practices in less deprived areas

34.2 (7.0)

38.0 (6.9)

40.7 (7.0)

(−)

 

BMI register >25 recorded last 15 months

Mean percentage achievement (SD)

19.9 (6.1)

24.5 (6.7)

26.1 (8.0)

NA

Mean practices in more deprived areas

19.4 (6.0)

23.6 (6.8)

26.1 (9.4)

(−)

Mean practices in less deprived areas

20.5 (6.1)

25.4 (6.5)

26.1 (6.5)

(−)

 

BMI >25 intervention last 15 months

Mean percentage achievement (SD)

21.1 (17.8)

61.1 (23.4)

57.4 (18.8)

NA

Mean practices in more deprived areas

17.0 (15.2)

59.7 (23.6)

54.5 (21.1)

(−)

Mean practices in less deprived areas

25.3 (19.4)

62.6 (23.5)

60.2 (16.0)

(−)

Alcohol

Register number of units last 27 months

Mean percentage achievement (SD)

19.5 (14.8)

32.1 (17.2)

44.4 (20.9)

54.8 (20.4)

Mean practices in more deprived areas

13.1 (10.8)

23.8 (15.8)

39.4 (24.9)

54.9 (23.5)

Mean practices in less deprived areas

26.1 (15.6)

40.4 (14.5)

49.5 (14.5)

54.7 (16.6)

 

Females >14 units and males >21 units offered brief intervention

Mean percentage achievement (SD)

33.9 (28.5)

69.9 (23.4)

74.7 (24.2)

74.8 (20.7)

Mean practices in more deprived areas

26.4 (26.6)

70.6 (26.2)

71.8 (29.7)

71.0 (23.3)

Mean practices in less deprived areas

41.7 (28.6)

69.2 (20.4)

77.5 (17.0)

79.0 (16.8)

Learning disabilities

Register over 18 years with a learning disability

Mean percentage achievement (SD)

.3 (.2)

.4 (.3)

.4 (.2)

.5 (.3)

Mean practices in more deprived areas

0.28 (0.21)

0.33 (0.26)

0.34 (0.26)

0.51 (0.29)

Mean practices in less deprived areas

0.29 (0.23)

0.40 (0.24)

0.40 (0.23)

0.50 (0.27)

 

Those on register with a review recorded in the preceding 15 months.

Mean percentage achievement (SD)

.9 (7.0)

54.2 (37.1)

59.2 (34.0)

58.8 (33.5)

Mean practices in more deprived areas

0.2 (1.2)

48.6 (38.4)

49.4 (37.9)

52.7 (36.7)

Mean practices in less deprived areas

1.6 (9.7)

59.7 (35.3)

69.0 (26.5)

65.4 (28.5)

Osteoporosis

Register of females aged 65–74 with a fracture last 15 months

Mean percentage achievement (SD)

.6 (.8)

1.0 (1.0)

1.3 (1.1)

.6 (.5)

Mean practices in more deprived areas

0.57 (0.89)

0.80 (1.14)

1.19 (1.44)

0.45 (0.52)

Mean practices in less deprived areas

0.66 (0.60)

1.17 (0.91)

1.48 (0.73)

0.72 (0.40)

 

Proportion of register referred for a DEXA scan

Mean percentage achievement (SD)

1.1 (6.3)

46.1 (45.1)

51.1 (42.4)

42.0 (39.2)

Mean practices in more deprived areas

1.3 (7.9)

32.0 (45.5)

39.0 (46.2)

29.0 (40.4)

Mean practices in less deprived areas

0.9 (4.2)

60.1 (40.7)

63.3 (34.7)

57.8 (32.2)

 

Register aged >16 years who have at least one repeat prescription for oral prednisolone in last 6 months

Mean percentage achievement (SD)

.9 (1.3)

.4 (.5)

.2 (.2)

.3 (1.1)

Mean practices in more deprived areas

0.31 (0.32)

0.29 (0.34)

0.21 (0.19)

0.23 (0.26)

Mean practices in less deprived areas

0.90 (1.72)

0.54 (0.57)

0.22 (0.15)

0.45 (1.55)

 

Percentage on prednisolone register DEXA scan or referral in last 15 months

Mean percentage achievement (SD)

16.6 (25.9)

65.0 (39.1)

58.0 (38.5)

66.3 (36.6)

Mean practices in more deprived areas

8.4 (17.3)

58.0 (40.8)

46.1 (41.3)

51.3 (42.0)

Mean practices in less deprived areas

24.2 (30.2)

71.3 (37.0)

69.9 (31.8)

82.5 (20.0)

 

Percentage over 65 years prescribed prednisolone in the last 6 months, DEXA scan or referral in last 15 months, or assessed for osteoporosis risk.

Mean percentage achievement (SD)

31.0 (34.4)

66.1 (39.4)

60.6 (41.4)

1.8 (3.2)

Mean practices in more deprived areas

31.4 (38.7)

56.3 (45.5)

49.6 (47.3)

1.1 (1.4)

Mean practices in less deprived areas

30.6 (30.3)

74.9 (30.9)

71.6 (31.3)

2.5 (4.3)

 

Register over 75 years had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday

Mean percentage achievement (SD)

NA

NA

1.1 (.9)

60.7 (43.5)

Mean practices in more deprived areas

– (−)

– (−)

0.7 (0.7)

36.5 (45.3)

Mean practices in less deprived areas

– (−)

– (−)

1.4 (0.9)

86.6 (20.6)

 

Percentage over 75 years had a fragility fracture of the vertebrae, hip, wrist, or humerus since their 75th Birthday, assessed and treated for Osteoporosis risk ever.

Mean percentage achievement (SD)

NA

NA

4.7 (2.8)

56.3 (39.5)

Mean practices in more deprived areas

– (−)

– (−)

3.4 (2.7)

36.8 (41.0)

Mean practices in less deprived areas

– (−)

– (−)

6.2 (2.0)

77.2 (24.7)

Chlamydia Screening

Register aged 15 to 24.

Mean percentage achievement (SD)

100 (0)

100 (0)

100 (0)

NA

Mean practices in more deprived areas

100 (0)

100 (0)

100 (0)

(−)

Mean practices in less deprived areas

100 (0)

100 (0)

100 (0)

(−)

 

Proportion between 15–24 years offered screening and have a recorded result

Mean percentage achievement (SD)

1.7 (1.7)

5.7 (4.9)

6.1 (4.9)

6.1 (7.5)

Mean practices in more deprived areas

1.53 (1.43)

4.45 (4.80)

6.10 (5.03)

6.61 (9.78)

Mean practices in less deprived areas

1.72 (1.87)

6.98 (4.67)

7.16 (4.43)

5.63 (3.77)

  1. aBlank cells indicate where the indicator was not yet introduced or had been withdrawn from the scheme