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They also conducted interviews with staff from PCTs and practices to understand how they had responded to QOF and what impact they felt it had had on their ability to improve health and reduce inequalities. Impact of Quality and Outcomes Framework on Health Inequalities summarises the findings of that research, specifically on: incentives for prevention and public health activities, differences in performance by deprivation, impact on population health, practice characteristics, exception reporting (allowing certain patients to be excluded from the performance figures) and case finding (actively seeking to identify new people at risk). 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The aim of this policy is to create competition, which in turn drives improvements in quality; for this to work effectively, patients have to make their choices on the basis of clinical quality. Significant resources have been devoted to offering patients more information to help them make their choices. But do people use the information that is available? Choosing a high-quality hospital explores how information can help patients to make informed choices. It is based on a research study, which began with a series of focus group discussions, the results of which informed the design of an online experiment.  People were presented with information using a number of different ‘scorecards’ comparing the performance of hospital, and different ‘nudges’ were used to influence their choices. The research aimed to answer the following questions: What information do patients use when choosing a hospital? What is important to patients when choosing a hospital? How does the design of information influence the choices that patients make, and in particular, how can they be guided – using ‘nudges’ – to make better decisions? Do people make better choices as they become more practised in making decisions (ie, do they learn to make better choices)? The online experiment showed that making informed choices using comparative information on the quality of hospitals is difficult, even for people who are used to using the internet. The way in which information was presented on screen made a difference to people’s decisions - but the impact was not always as expected. Patients can be prompted to pay more attention to clinical quality, but the impact of specific prompts depend on a number of factors - for example, patients’  age, their level of education, etc. This report includes useful information for policy-makers and information providers, including practical suggestions as to how information can be presented and ordered in order to maximise the chances of decisions being made on the basis of quality."],"date_published_tesim":["2010"],"date_published_ssi":"2010","official_url_tesim":["http://www.kingsfund.org.uk/publications/choosing-high-quality-hospital"],"pagination_tesim":["88p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Reutskaja, Elena","Boyce, Tammy","Dixon, Anna","Fasolo, Barbara"],"date_tesim":["2010"],"date_ssi":"2010","publisher_tesim":["The King's Fund"],"subject_tesim":["patient choice","consumer behaviour","hospitals"],"thumbnail_path_ss":"/downloads/z316q156s?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["z316q156s"],"file_set_ids_ssim":["z316q156s"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000096739"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714882322085445632,"timestamp":"2021-10-28T16:40:26.232Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:51:42Z","system_modified_dtsi":"2021-10-28T14:24:26Z","has_model_ssim":["PublishedWork"],"id":"000095758","accessControl_ssim":["41999e46-ff4d-45ca-bf0e-bb4d569370f8"],"hasRelatedMediaFragment_ssim":["gt54kn02m"],"hasRelatedImage_ssim":["gt54kn02m"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["A pro-active approach : health promotion and ill-health prevention."],"date_uploaded_dtsi":"2021-10-27T21:51:42Z","date_modified_dtsi":"2021-10-28T13:47:21Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["95758"],"abstract_tesim":["This paper is one of a series prepared for the inquiry into the quality of general practice in England commissioned by The King’s Fund. The specific focus of the inquiry is to examine the role of general practice and the quality of the services it provides. The focus of this paper is on health promotion and ill-health prevention. It is not intended to be an exhaustive review but rather to give an overview of the range of activities undertaken by general practitioners (GPs) and general practice. The paper draws on a brief review of the literature in areas of primary and secondary prevention in general practice. The review focuses on four specific areas of activity: childhood immunisation, smoking cessation,  cardiovascular disease and obesity.","This paper was commissioned by The King's Fund to inform the GP Inquiry panel. The views expressed are those of the authors and not of the panel."],"date_published_tesim":["2010"],"date_published_ssi":"2010","official_url_tesim":["http://www.kingsfund.org.uk/sites/files/kf/field/field_document/health-promotion-ill-health-prevention-gp-inquiry-research-paper-mar11.pdf"],"pagination_tesim":["41p."],"place_of_publication_tesim":["London"],"creator_tesim":["Peckham, Stephen","Hann, Alison","Boyce, Tammy","Trenholm, Susan"],"date_tesim":["2010"],"date_ssi":"2010","publisher_tesim":["The King's Fund"],"subject_tesim":["obesity","smoking cessation","cardiovascular diseases","health promotion","ill health","immunisation","public health"],"thumbnail_path_ss":"/downloads/gt54kn02m?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["gt54kn02m"],"file_set_ids_ssim":["gt54kn02m"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000095758"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714881543376207872,"timestamp":"2021-10-28T16:28:03.597Z","score":1.0},{"system_create_dtsi":"2021-10-27T20:40:43Z","system_modified_dtsi":"2021-10-28T13:26:57Z","has_model_ssim":["PublishedWork"],"id":"000041199","accessControl_ssim":["df02f2c6-43a7-48c8-b084-9cff1a3a160f"],"hasRelatedMediaFragment_ssim":["gm80hv32k"],"hasRelatedImage_ssim":["gm80hv32k"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Commissioning and behaviour change : kicking bad habits final report."],"date_uploaded_dtsi":"2021-10-27T20:40:43Z","date_modified_dtsi":"2021-10-28T13:24:02Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["41199"],"abstract_tesim":["Unhealthy behaviours - smoking, alcohol misuse, poor diet, lack of exercise - lead to ill health, with resulting costs to individuals, to the NHS and to society as a whole.  PCTs are expected to commission support to help people change their behaviour to adopt healthier lifestyles - but what should that support be?  The Kicking Bad Habits programme was launched to identify effective interventions. Drawing on a series of working papers and seminars, this report assesses existing and innovative methods the health service can use to persuade people to adopt healthier lifestyles, including providing information, personal support and financial and other incentives.  [Introduction]"],"date_published_tesim":["2008"],"date_published_ssi":"2008","official_url_tesim":["http://www.kingsfund.org.uk/publications/commissioning-and-behaviour-change"],"pagination_tesim":["38p."],"place_of_publication_tesim":["London : The King's Fund"],"creator_tesim":["The King's Fund","Boyce, Tammy","Dixon, Anna","Robertson, Ruth"],"date_tesim":["2008"],"date_ssi":"2008","subject_tesim":["Ill health","Public health","Behaviour change","Incentive systems","Motivation","Consumer health information","Lifestyle","Commissioning","Primary care trusts"],"thumbnail_path_ss":"/downloads/gm80hv32k?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["gm80hv32k"],"file_set_ids_ssim":["gm80hv32k"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000041199"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714874135846322176,"timestamp":"2021-10-28T14:30:19.226Z","score":1.0}],"facets":[{"name":"creator_sim","items":[{"value":"Boyce, Tammy","hits":4,"label":"Boyce, Tammy"},{"value":"Dixon, Anna","hits":3,"label":"Dixon, Anna"},{"value":"The King's Fund","hits":3,"label":"The King's Fund"},{"value":"Peckham, Stephen","hits":2,"label":"Peckham, Stephen"},{"value":"Fasolo, Barbara","hits":1,"label":"Fasolo, Barbara"},{"value":"Gillam, Stephen","hits":1,"label":"Gillam, Stephen"}],"label":"Author"},{"name":"subject_sim","items":[{"value":"public health","hits":2,"label":"public health"},{"value":"Behaviour change","hits":1,"label":"Behaviour change"},{"value":"Commissioning","hits":1,"label":"Commissioning"},{"value":"Consumer health information","hits":1,"label":"Consumer health information"},{"value":"Ill health","hits":1,"label":"Ill health"},{"value":"Incentive systems","hits":1,"label":"Incentive systems"}],"label":"Subject"},{"name":"resource_type_sim","items":[],"label":"Resource type"},{"name":"date_range_sim","items":[{"value":"2010","hits":2,"label":"2010"},{"value":"2008","hits":1,"label":"2008"},{"value":"2011","hits":1,"label":"2011"}],"label":"Date Range"},{"name":"file_format_sim","items":[],"label":"File format"},{"name":"member_of_collections_ssim","items":[],"label":"Collection"},{"name":"generic_type_sim","items":[{"value":"Work","hits":4,"label":"Work"}],"label":"Generic Type Sim"}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":4,"first_page?":true,"last_page?":true}}}