The British journal of general practice : the journal of the Royal College of General Practitioners
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Multicenter Study
The Public Health Impact score: a new measure of public health effectiveness for general practices in England.
Health policy in the UK is increasingly focused on the measurement of outcomes rather than structures and processes of health care. ⋯ The PHI score is a potential alternative metric of practice performance, measuring the estimated mortality reduction in the registered population. Rewards under the QOF pay-for-performance scheme are not closely aligned to the public health impact of practices.
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Multicenter Study
Influence of chronic comorbidity and medication on the efficacy of treatment in patients with diabetes in general practice.
Evidence on the influence of comorbidity and comedication on clinical outcomes in patients with type 2 diabetes mellitus is scarce. ⋯ The presence of some comorbid diseases or drug use can impede the efficacy of treatment for type 2 diabetes. This finding supports the need to develop treatment recommendations, taking into account the presence of both chronic comorbidity and comedication. Further research must be undertaken to ascertain the effect other combinations of chronic diseases have on the efficacy of treatment of this and other diseases.