The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients—innovation in the commissioning of primary dental care service delivery and organisation in the UK
Identifieur interne : 002069 ( Pmc/Curation ); précédent : 002068; suivant : 002070The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients—innovation in the commissioning of primary dental care service delivery and organisation in the UK
Auteurs : Sue H. Pavitt [Royaume-Uni] ; Paul D. Baxter [Royaume-Uni] ; Paul A. Brunton [Royaume-Uni] ; Gail Douglas [Royaume-Uni] ; Richard Edlin [Nouvelle-Zélande] ; Barry J. Gibson [Royaume-Uni] ; Jenny Godson [Royaume-Uni] ; Melanie Hall [Royaume-Uni] ; Jenny Porritt [Royaume-Uni] ; Peter G. Robinson [Royaume-Uni] ; Karen Vinall [Royaume-Uni] ; Claire Hulme [Royaume-Uni]Source :
- BMJ Open [ 2044-6055 ] ; 2014.
Abstract
In England, in 2006, new dental contracts devolved commissioning of dental services locally to Primary Care Trusts to meet the needs of their local population. The new national General Dental Services contracts (nGDS) were based on payment for Units of Dental Activity (UDAs) awarded in three treatment bands based on complexity of care. Recently, contract currency in UK dentistry is evolving from UDAs based on volume and case complexity towards ‘blended contracts’ that include incentives linked with key performance indicators such as quality and improved health outcome. Overall, evidence of the effectiveness of incentive-driven contracting of health providers is still emerging. The INCENTIVE Study aims to evaluate a blended contract model (incentive-driven) compared to traditional nGDS contracts on dental service delivery in practices in West Yorkshire, England.
The INCENTIVE model uses a mixed methods approach to comprehensively evaluate a new incentive-driven model of NHS dental service delivery. The study includes 6 dental surgeries located across three newly commissioned dental practices (blended contract) and three existing traditional practices (nGDS contracts). The newly commissioned practices have been matched to traditional practices by deprivation index, age profile, ethnicity, size of practice and taking on new patients. The study consists of three interlinked work packages: a qualitative study to explore stakeholder perspectives of the new service delivery model; an effectiveness study to assess the INCENTIVE model in reducing the risk of and amount of dental disease and enhance oral health-related quality of life in patients; and an economic study to assess cost-effectiveness of the INCENTIVE model in relation to clinical status and oral health-related quality of life.
The study has been approved by NRES Committee London, Bromley. The results of this study will be disseminated at national and international conferences and in international journals.
Url:
DOI: 10.1136/bmjopen-2014-005931
PubMed: 25231492
PubMed Central: 4166246
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :002069
Links to Exploration step
PMC:4166246Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients—<italic>in</italic>novation in the <italic>c</italic>ommissioning of primary d<italic>ent</italic>al care service del<italic>ive</italic>ry and organisation in the UK</title><author><name sortKey="Pavitt, Sue H" sort="Pavitt, Sue H" uniqKey="Pavitt S" first="Sue H" last="Pavitt">Sue H. Pavitt</name><affiliation wicri:level="1"><nlm:aff id="af1"><institution>Centre for Health Services Research, Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Baxter, Paul D" sort="Baxter, Paul D" uniqKey="Baxter P" first="Paul D" last="Baxter">Paul D. Baxter</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Division of Biostatistics</addr-line>,<institution>Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Brunton, Paul A" sort="Brunton, Paul A" uniqKey="Brunton P" first="Paul A" last="Brunton">Paul A. Brunton</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Douglas, Gail" sort="Douglas, Gail" uniqKey="Douglas G" first="Gail" last="Douglas">Gail Douglas</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Edlin, Richard" sort="Edlin, Richard" uniqKey="Edlin R" first="Richard" last="Edlin">Richard Edlin</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>School of Population Health, University of Auckland</institution>,<addr-line>Auckland</addr-line>,<country>New Zealand</country></nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Gibson, Barry J" sort="Gibson, Barry J" uniqKey="Gibson B" first="Barry J" last="Gibson">Barry J. Gibson</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Godson, Jenny" sort="Godson, Jenny" uniqKey="Godson J" first="Jenny" last="Godson">Jenny Godson</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af6"><institution>Public Health England, Regional Office</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hall, Melanie" sort="Hall, Melanie" uniqKey="Hall M" first="Melanie" last="Hall">Melanie Hall</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Porritt, Jenny" sort="Porritt, Jenny" uniqKey="Porritt J" first="Jenny" last="Porritt">Jenny Porritt</name><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Department of Psychology</addr-line>,<institution>Sociology & Politics Collegiate Campus Sheffield Hallam University</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Robinson, Peter G" sort="Robinson, Peter G" uniqKey="Robinson P" first="Peter G" last="Robinson">Peter G. Robinson</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Vinall, Karen" sort="Vinall, Karen" uniqKey="Vinall K" first="Karen" last="Vinall">Karen Vinall</name><affiliation wicri:level="1"><nlm:aff id="af8"><addr-line>Academic Unit of Health Economics</addr-line>,<institution>Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hulme, Claire" sort="Hulme, Claire" uniqKey="Hulme C" first="Claire" last="Hulme">Claire Hulme</name><affiliation wicri:level="1"><nlm:aff id="af8"><addr-line>Academic Unit of Health Economics</addr-line>,<institution>Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25231492</idno><idno type="pmc">4166246</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166246</idno><idno type="RBID">PMC:4166246</idno><idno type="doi">10.1136/bmjopen-2014-005931</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002069</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002069</idno><idno type="wicri:Area/Pmc/Curation">002069</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002069</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients—<italic>in</italic>novation in the <italic>c</italic>ommissioning of primary d<italic>ent</italic>al care service del<italic>ive</italic>ry and organisation in the UK</title><author><name sortKey="Pavitt, Sue H" sort="Pavitt, Sue H" uniqKey="Pavitt S" first="Sue H" last="Pavitt">Sue H. Pavitt</name><affiliation wicri:level="1"><nlm:aff id="af1"><institution>Centre for Health Services Research, Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Baxter, Paul D" sort="Baxter, Paul D" uniqKey="Baxter P" first="Paul D" last="Baxter">Paul D. Baxter</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Division of Biostatistics</addr-line>,<institution>Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Brunton, Paul A" sort="Brunton, Paul A" uniqKey="Brunton P" first="Paul A" last="Brunton">Paul A. Brunton</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Douglas, Gail" sort="Douglas, Gail" uniqKey="Douglas G" first="Gail" last="Douglas">Gail Douglas</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Edlin, Richard" sort="Edlin, Richard" uniqKey="Edlin R" first="Richard" last="Edlin">Richard Edlin</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>School of Population Health, University of Auckland</institution>,<addr-line>Auckland</addr-line>,<country>New Zealand</country></nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Gibson, Barry J" sort="Gibson, Barry J" uniqKey="Gibson B" first="Barry J" last="Gibson">Barry J. Gibson</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Godson, Jenny" sort="Godson, Jenny" uniqKey="Godson J" first="Jenny" last="Godson">Jenny Godson</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af6"><institution>Public Health England, Regional Office</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hall, Melanie" sort="Hall, Melanie" uniqKey="Hall M" first="Melanie" last="Hall">Melanie Hall</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Porritt, Jenny" sort="Porritt, Jenny" uniqKey="Porritt J" first="Jenny" last="Porritt">Jenny Porritt</name><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Department of Psychology</addr-line>,<institution>Sociology & Politics Collegiate Campus Sheffield Hallam University</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Robinson, Peter G" sort="Robinson, Peter G" uniqKey="Robinson P" first="Peter G" last="Robinson">Peter G. Robinson</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Vinall, Karen" sort="Vinall, Karen" uniqKey="Vinall K" first="Karen" last="Vinall">Karen Vinall</name><affiliation wicri:level="1"><nlm:aff id="af8"><addr-line>Academic Unit of Health Economics</addr-line>,<institution>Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hulme, Claire" sort="Hulme, Claire" uniqKey="Hulme C" first="Claire" last="Hulme">Claire Hulme</name><affiliation wicri:level="1"><nlm:aff id="af8"><addr-line>Academic Unit of Health Economics</addr-line>,<institution>Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>In England, in 2006, new dental contracts devolved commissioning of dental services locally to Primary Care Trusts to meet the needs of their local population. The new national General Dental Services contracts (nGDS) were based on payment for Units of Dental Activity (UDAs) awarded in three treatment bands based on complexity of care. Recently, contract currency in UK dentistry is evolving from UDAs based on volume and case complexity towards ‘blended contracts’ that include incentives linked with key performance indicators such as quality and improved health outcome. Overall, evidence of the effectiveness of incentive-driven contracting of health providers is still emerging. The INCENTIVE Study aims to evaluate a blended contract model (incentive-driven) compared to traditional nGDS contracts on dental service delivery in practices in West Yorkshire, England.</p></sec><sec><title>Methods and analysis</title><p>The INCENTIVE model uses a mixed methods approach to comprehensively evaluate a new incentive-driven model of NHS dental service delivery. The study includes 6 dental surgeries located across three newly commissioned dental practices (blended contract) and three existing traditional practices (nGDS contracts). The newly commissioned practices have been matched to traditional practices by deprivation index, age profile, ethnicity, size of practice and taking on new patients. The study consists of three interlinked work packages: a qualitative study to explore stakeholder perspectives of the new service delivery model; an effectiveness study to assess the INCENTIVE model in reducing the risk of and amount of dental disease and enhance oral health-related quality of life in patients; and an economic study to assess cost-effectiveness of the INCENTIVE model in relation to clinical status and oral health-related quality of life.</p></sec><sec><title>Ethics and dissemination</title><p>The study has been approved by NRES Committee London, Bromley. The results of this study will be disseminated at national and international conferences and in international journals.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mcdonald, R" uniqKey="Mcdonald R">R McDonald</name></author><author><name sortKey="Cheraghi Sohi, S" uniqKey="Cheraghi Sohi S">S Cheraghi-Sohi</name></author><author><name sortKey="Tickle, M" uniqKey="Tickle M">M Tickle</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Christianson, J" uniqKey="Christianson J">J Christianson</name></author><author><name sortKey="Leatherman, S" uniqKey="Leatherman S">S Leatherman</name></author><author><name sortKey="Sutherland, K" uniqKey="Sutherland K">K Sutherland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clarkson, Je" uniqKey="Clarkson J">JE Clarkson</name></author><author><name sortKey="Turner, S" uniqKey="Turner S">S Turner</name></author><author><name sortKey="Grimshaw, Jm" uniqKey="Grimshaw J">JM Grimshaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Donnell, Ca" uniqKey="O Donnell C">CA O'Donnell</name></author><author><name sortKey="Ring, A" uniqKey="Ring A">A Ring</name></author><author><name sortKey="Mclean, G" uniqKey="Mclean G">G McLean</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langdown, C" uniqKey="Langdown C">C Langdown</name></author><author><name sortKey="Peckham, S" uniqKey="Peckham S">S Peckham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maisey, S" uniqKey="Maisey S">S Maisey</name></author><author><name sortKey="Steel, N" uniqKey="Steel N">N Steel</name></author><author><name sortKey="Marsh, R" uniqKey="Marsh R">R Marsh</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harris, R" uniqKey="Harris R">R Harris</name></author><author><name sortKey="Bridgman, C" uniqKey="Bridgman C">C Bridgman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brooks, Rg" uniqKey="Brooks R">RG Brooks</name></author><author><name sortKey="Jendteg, S" uniqKey="Jendteg S">S Jendteg</name></author><author><name sortKey="Lingren, B" uniqKey="Lingren B">B Lingren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kind, P" uniqKey="Kind P">P Kind</name></author><author><name sortKey="Dolan, P" uniqKey="Dolan P">P Dolan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brennan, Ds" uniqKey="Brennan D">DS Brennan</name></author><author><name sortKey="Spencer, Aj" uniqKey="Spencer A">AJ Spencer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Galloway, J" uniqKey="Galloway J">J Galloway</name></author><author><name sortKey="Gorham, J" uniqKey="Gorham J">J Gorham</name></author><author><name sortKey="Lambert, M" uniqKey="Lambert M">M Lambert</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nilchian, F" uniqKey="Nilchian F">F Nilchian</name></author><author><name sortKey="Rodd, Hd" uniqKey="Rodd H">HD Rodd</name></author><author><name sortKey="Robinson, Pg" uniqKey="Robinson P">PG Robinson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Subramanian, Dn" uniqKey="Subramanian D">DN Subramanian</name></author><author><name sortKey="Hopayian, K" uniqKey="Hopayian K">K Hopayian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strong, M" uniqKey="Strong M">M Strong</name></author><author><name sortKey="South, G" uniqKey="South G">G South</name></author><author><name sortKey="Carlisle, R" uniqKey="Carlisle R">R Carlisle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gonzalez, Gz" uniqKey="Gonzalez G">GZ Gonzalez</name></author><author><name sortKey="Klazinga, N" uniqKey="Klazinga N">N Klazinga</name></author><author><name sortKey="Asbroek, Gt" uniqKey="Asbroek G">GT Asbroek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hally, Jd" uniqKey="Hally J">JD Hally</name></author><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="protocol"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Open</journal-id><journal-id journal-id-type="iso-abbrev">BMJ Open</journal-id><journal-id journal-id-type="hwp">bmjopen</journal-id><journal-id journal-id-type="publisher-id">bmjopen</journal-id><journal-title-group><journal-title>BMJ Open</journal-title></journal-title-group><issn pub-type="epub">2044-6055</issn><publisher><publisher-name>BMJ Publishing Group</publisher-name><publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25231492</article-id><article-id pub-id-type="pmc">4166246</article-id><article-id pub-id-type="publisher-id">bmjopen-2014-005931</article-id><article-id pub-id-type="doi">10.1136/bmjopen-2014-005931</article-id><article-categories><subj-group subj-group-type="heading"><subject>Dentistry and Oral Medicine</subject><subj-group><subject>Protocol</subject></subj-group></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject><subject>1686</subject><subject>1701</subject><subject>1703</subject><subject>1704</subject><subject>1724</subject></subj-group></article-categories><title-group><article-title>The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients—<italic>in</italic>novation in the <italic>c</italic>ommissioning of primary d<italic>ent</italic>al care service del<italic>ive</italic>ry and organisation in the UK</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Pavitt</surname><given-names>Sue H</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Baxter</surname><given-names>Paul D</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Brunton</surname><given-names>Paul A</given-names></name><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Douglas</surname><given-names>Gail</given-names></name><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Edlin</surname><given-names>Richard</given-names></name><xref ref-type="aff" rid="af4">4</xref></contrib><contrib contrib-type="author"><name><surname>Gibson</surname><given-names>Barry J</given-names></name><xref ref-type="aff" rid="af5">5</xref></contrib><contrib contrib-type="author"><name><surname>Godson</surname><given-names>Jenny</given-names></name><xref ref-type="aff" rid="af3">3</xref><xref ref-type="aff" rid="af6">6</xref></contrib><contrib contrib-type="author"><name><surname>Hall</surname><given-names>Melanie</given-names></name><xref ref-type="aff" rid="af5">5</xref></contrib><contrib contrib-type="author"><name><surname>Porritt</surname><given-names>Jenny</given-names></name><xref ref-type="aff" rid="af7">7</xref></contrib><contrib contrib-type="author"><name><surname>Robinson</surname><given-names>Peter G</given-names></name><xref ref-type="aff" rid="af5">5</xref></contrib><contrib contrib-type="author"><name><surname>Vinall</surname><given-names>Karen</given-names></name><xref ref-type="aff" rid="af8">8</xref></contrib><contrib contrib-type="author"><name><surname>Hulme</surname><given-names>Claire</given-names></name><xref ref-type="aff" rid="af8">8</xref></contrib></contrib-group><aff id="af1"><label>1</label><institution>Centre for Health Services Research, Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></aff><aff id="af2"><label>2</label><addr-line>Division of Biostatistics</addr-line>,<institution>Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></aff><aff id="af3"><label>3</label><institution>School of Dentistry, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></aff><aff id="af4"><label>4</label><institution>School of Population Health, University of Auckland</institution>,<addr-line>Auckland</addr-line>,<country>New Zealand</country></aff><aff id="af5"><label>5</label><institution>School of Clinical Dentistry</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></aff><aff id="af6"><label>6</label><institution>Public Health England, Regional Office</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></aff><aff id="af7"><label>7</label><addr-line>Department of Psychology</addr-line>,<institution>Sociology & Politics Collegiate Campus Sheffield Hallam University</institution>,<addr-line>Sheffield</addr-line>,<country>UK</country></aff><aff id="af8"><label>8</label><addr-line>Academic Unit of Health Economics</addr-line>,<institution>Leeds Institute of Health Sciences, University of Leeds</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></aff><author-notes><corresp><label>Correspondence to</label> Dr Karen Vinall; <email>K.A.Vinall@leeds.ac.uk</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>17</day><month>9</month><year>2014</year></pub-date><volume>4</volume><issue>9</issue><elocation-id>e005931</elocation-id><history><date date-type="received"><day>18</day><month>6</month><year>2014</year></date><date date-type="rev-recd"><day>8</day><month>8</month><year>2014</year></date><date date-type="accepted"><day>11</day><month>8</month><year>2014</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access"><license-p>This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link></license-p></license></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="bmjopen-2014-005931.pdf"></self-uri><self-uri content-type="draft-revisions-pdf" xlink:type="simple" xlink:href="bmjopen-2014-005931.draft_revisions.pdf"></self-uri><abstract><sec><title>Introduction</title><p>In England, in 2006, new dental contracts devolved commissioning of dental services locally to Primary Care Trusts to meet the needs of their local population. The new national General Dental Services contracts (nGDS) were based on payment for Units of Dental Activity (UDAs) awarded in three treatment bands based on complexity of care. Recently, contract currency in UK dentistry is evolving from UDAs based on volume and case complexity towards ‘blended contracts’ that include incentives linked with key performance indicators such as quality and improved health outcome. Overall, evidence of the effectiveness of incentive-driven contracting of health providers is still emerging. The INCENTIVE Study aims to evaluate a blended contract model (incentive-driven) compared to traditional nGDS contracts on dental service delivery in practices in West Yorkshire, England.</p></sec><sec><title>Methods and analysis</title><p>The INCENTIVE model uses a mixed methods approach to comprehensively evaluate a new incentive-driven model of NHS dental service delivery. The study includes 6 dental surgeries located across three newly commissioned dental practices (blended contract) and three existing traditional practices (nGDS contracts). The newly commissioned practices have been matched to traditional practices by deprivation index, age profile, ethnicity, size of practice and taking on new patients. The study consists of three interlinked work packages: a qualitative study to explore stakeholder perspectives of the new service delivery model; an effectiveness study to assess the INCENTIVE model in reducing the risk of and amount of dental disease and enhance oral health-related quality of life in patients; and an economic study to assess cost-effectiveness of the INCENTIVE model in relation to clinical status and oral health-related quality of life.</p></sec><sec><title>Ethics and dissemination</title><p>The study has been approved by NRES Committee London, Bromley. The results of this study will be disseminated at national and international conferences and in international journals.</p></sec></abstract><kwd-group><kwd>HEALTH ECONOMICS</kwd><kwd>ORAL MEDICINE</kwd><kwd>PUBLIC HEALTH</kwd><kwd>QUALITATIVE RESEARCH</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002069 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 002069 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:4166246
|texte= The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients—innovation in the commissioning of primary dental care service delivery and organisation in the UK
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:25231492" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |