Impact of the GP contract on inequalities associated with influenza immunisation: a retrospective population-database analysis

Michael Norbury, Neil Fawkes, Bruce Guthrie

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    Background: Influenza immunisation is recommended for all people aged &?e;65 years and younger people with particular chronic diseases. The Quality and Outcomes Framework (QOF) has provided new financial incentives for influenza immunisation since 2004. Aim: To determine the impact of the 2004 UK General Medical Services contract on the overall uptake of, and socioeconomic inequalities associated with, influenza immunisation. Design and setting: Retrospective general-practice population database analysis in 15 general practices in Scotland, UK. Method: Changes in influenza-immunisation uptake for those in at-risk groups between 2003-2004 and 2006-2007 weremeasured, and variation in uptake examined usingmultilevelmodelling. Results: Uptake rose from67.9%in 2003-2004 to 71.4% in 2006-2007. The largest increases were seen in those aged
    Original languageEnglish
    Pages (from-to)e379-e385
    JournalBritish Journal of General Practice
    Issue number588
    Publication statusPublished - Jul 2011

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