Publications
338 results found
Murray J, Saxena S, Millett C, et al., 2010, Reductions in risk factors for secondary prevention of coronary heart disease by ethnic group in south-west London: 10-year longitudinal study (1998-2007), FAMILY PRACTICE, Vol: 27, Pages: 430-438, ISSN: 0263-2136
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- Citations: 15
Alshamsan R, Millett C, Majeed A, et al., 2010, Has pay for performance improved the management of diabetes in the United Kingdom?, PRIMARY CARE DIABETES, Vol: 4, Pages: 73-78, ISSN: 1751-9918
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- Citations: 25
Alshamsan R, Majeed A, Ashworth M, et al., 2010, Impact of pay for performance on inequalities in health care: systematic review, JOURNAL OF HEALTH SERVICES RESEARCH & POLICY, Vol: 15, Pages: 178-184, ISSN: 1355-8196
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- Citations: 65
Verma A, Birger R, Bhatt H, et al., 2010, Ethnic disparities in diabetes management: a 10-year population-based repeated cross-sectional study in UK primary care, JOURNAL OF PUBLIC HEALTH, Vol: 32, Pages: 250-258, ISSN: 1741-3842
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- Citations: 18
Anderson SJ, Millett C, Polansky JR, et al., 2010, Exposure to smoking in movies among British adolescents 2001-2006, TOBACCO CONTROL, Vol: 19, Pages: 197-U43, ISSN: 0964-4563
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- Citations: 23
Millett C, Glantz SA, 2010, Assigning an '18' rating to movies with tobacco imagery is essential to reduce youth smoking, THORAX, Vol: 65, Pages: 377-378, ISSN: 0040-6376
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- Citations: 23
de Lusignan S, Khunti K, Belsey J, et al., 2010, A method of identifying and correcting miscoding, misclassification and misdiagnosis in diabetes: a pilot and validation study of routinely collected data, DIABETIC MEDICINE, Vol: 27, Pages: 203-209, ISSN: 0742-3071
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- Citations: 77
Hamilton F, Bottle A, Vamos EP, et al., 2010, Impact of a pay for performance incentive scheme on age, sex and socio-economic inequalities in diabetes management in UK primary care, J Amb Care Med
Tzoulaki I, Molokhia M, Curcin V, et al., 2009, Risk of cardiovascular disease and all cause mortality among patients with type 2 diabetes prescribed oral antidiabetes drugs: retrospective cohort study using UK general practice research database, BMJ-BRITISH MEDICAL JOURNAL, Vol: 339, ISSN: 1756-1833
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- Citations: 288
Vamos EP, Bottle A, Majeed A, et al., 2009, Trends in lower extremity amputations in people with and without diabetes in England, 1996-2005, 45th Annual Meeting of the European-Association-for-the-Study-of-Diabetes, Publisher: SPRINGER, Pages: S447-S447, ISSN: 0012-186X
Millett C, Bottle A, Ng A, et al., 2009, Pay for performance and the quality of diabetes management in individuals with and without co-morbid medical conditions, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 102, Pages: 369-377, ISSN: 0141-0768
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- Citations: 37
Millett C, Netuveli G, Saxena S, et al., 2009, Impact of Pay for Performance on Ethnic Disparities in Intermediate Outcomes for Diabetes: A Longitudinal Study, DIABETES CARE, Vol: 32, Pages: 404-409, ISSN: 0149-5992
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- Citations: 41
Crawley D, Ng A, Mainous AG, et al., 2009, Impact of pay for performance on quality of chronic disease management by social class group in England, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 102, Pages: 103-107, ISSN: 0141-0768
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- Citations: 28
Bottle A, Millett C, Khunti K, et al., 2009, Trends in cardiovascular admissions and procedures for people with and without diabetes in England, 1996-2005, DIABETOLOGIA, Vol: 52, Pages: 74-80, ISSN: 0012-186X
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- Citations: 16
Millett C, Gray J, Wall M, et al., 2009, Ethnic Disparities in Coronary Heart Disease Management and Pay for Performance in the UK, JOURNAL OF GENERAL INTERNAL MEDICINE, Vol: 24, Pages: 8-13, ISSN: 0884-8734
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- Citations: 35
Vamos EP, Bottle A, Majeed A, et al., 2009, Trends in Lower Extremity Amputations in People With and Without Diabetes in England, 1996-2005, Diabetes Res Clin Pract
Millett C, Gray J, Bottle A, et al., 2008, Ethnic Disparities in Blood Pressure Management in Patients With Hypertension After the Introduction of Pay for Performance, ANNALS OF FAMILY MEDICINE, Vol: 6, Pages: 490-496, ISSN: 1544-1709
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- Citations: 45
Lock K, Millett C, Heathcock R, et al., 2008, Public health and economic costs of investigating a suspected outbreak of Legionnaires' disease, EPIDEMIOLOGY AND INFECTION, Vol: 136, Pages: 1306-1314, ISSN: 0950-2688
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- Citations: 12
Koshy E, Millett C, 2008, The 'Quality and Outcomes Framework': improving care, but are all patients benefiting?, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 101, Pages: 432-433, ISSN: 0141-0768
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- Citations: 8
Henderson L, Millett C, Thorogood N, 2008, Perceptions of childhood immunization in a minority community: qualitative study, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 101, Pages: 244-251, ISSN: 0141-0768
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- Citations: 40
Millett C, Khunti K, Gray J, et al., 2008, Obesity and intermediate clinical outcomes in diabetes: evidence of a differential relationship across ethnic groups, DIABETIC MEDICINE, Vol: 25, Pages: 685-691, ISSN: 0742-3071
Ashworth M, Millett C, 2008, Quality improvement in UK primary care: the role of financial incentives., J Ambul Care Manage, Vol: 31, Pages: 220-225, ISSN: 0148-9917
Bottle A, Millett C, Xie Y, et al., 2008, Quality of primary care and hospital admissions for diabetes mellitus in England., J Ambul Care Manage, Vol: 31, Pages: 226-238, ISSN: 0148-9917
The National Health Service in England has invested substantially in recent years to improve the quality of primary care services for patients with chronic diseases such as diabetes. A key aim of this investment is to reduce associated complication rates and decrease consequent hospital admission rates. The goal of the study was to examine associations between the quality of primary care services and hospital admission rates for diabetes mellitus in England. An ecological cross-sectional study design was used. Three hundred three primary care trusts in England participated in the public reporting and performance-linked reimbursement of quality measures, including measures relevant to diabetes care. A total of 1,760,898 persons with diabetes registered with 8441 family practices in England. Hospital admission rates (total admissions for diabetes, admissions for ketoacidosis) were compared with quality of care scores, diabetes prevalence and neighborhood socio-economic status. We found a 10-fold variation across the country in total admissions for diabetes despite uniformly high scores on quality measures over the first year of the new family practitioner contract. Significant but weak inverse associations were found between primary care quality scores and hospital admission rates in patients aged 60 years and older, with a correlation coefficient of -0.21 (P < .001) between glycemic control and total admissions. Neighborhood socioeconomic status was more strongly correlated with total hospital admission rates than quality scores in patients aged 25-59 years (r = 0.58; P < .001) and 60 years and older (r = 0.45; P < .001). Quality of care scores and prevalence data were available only at the practice level rather than at the patient level. Improving the quality of primary care services may lead to modest reductions in demand for hospital services among older patients with diabetes. However, low neighborhood socioeconomic status is more strongly associated wit
Khunti K, Gadsby R, Millett C, et al., 2007, Quality of diabetes care in the UK: comparison of published quality-of-care reports with results of the Quality and Outcomes Framework for Diabetes, DIABETIC MEDICINE, Vol: 24, Pages: 1436-1441, ISSN: 0742-3071
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- Citations: 66
Millett C, Saxena S, Ng A, et al., 2007, Socio-economic status, ethnicity and diabetes management: an analysis of time trends using the health survey for England, JOURNAL OF PUBLIC HEALTH, Vol: 29, Pages: 413-419, ISSN: 1741-3842
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- Citations: 17
Gray J, Millett C, Saxena S, et al., 2007, Ethnicity and quality of diabetes care in a health system with universal coverage: Population-based cross-sectional survey in primary care, JOURNAL OF GENERAL INTERNAL MEDICINE, Vol: 22, Pages: 1317-1320, ISSN: 0884-8734
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- Citations: 45
Millett C, Gray J, Saxena S, et al., 2007, Impact of a pay-for-performance incentive on support for smoking cessation and on smoking prevalence among people with diabetes, CANADIAN MEDICAL ASSOCIATION JOURNAL, Vol: 176, Pages: 1705-1710, ISSN: 0820-3946
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- Citations: 53
Millett C, Gray J, Saxena S, et al., 2007, Ethnic disparities in diabetes management and pay-for-performance in the UK: The Wandsworth prospective diabetes study, PLoS Medicine, Vol: 4, Pages: 1087-1093, ISSN: 1549-1277
BackgroundPay-for-performance rewards health-care providers by paying them more if they succeed in meeting performance targets. A new contract for general practitioners in the United Kingdom represents the most radical shift towards pay-for-performance seen in any health-care system. The contract provides an important opportunity to address disparities in chronic disease management between ethnic and socioeconomic groups. We examined disparities in management of people with diabetes and intermediate clinical outcomes within a multiethnic population in primary care before and after the introduction of the new contract in April 2004.Methods and FindingsWe conducted a population-based longitudinal survey, using electronic general practice records, in an ethnically diverse part of southwest London. Outcome measures were prescribing levels and achievement of national treatment targets (HbA1c ≤ 7.0%; blood pressure [BP] < 140/80 mm Hg; total cholesterol ≤ 5 mmol/l or 193 mg/dl). The proportion of patients reaching treatment targets for HbA1c, BP, and total cholesterol increased significantly after the implementation of the new contract. The extents of these increases were broadly uniform across ethnic groups, with the exception of the black Caribbean patient group, which had a significantly lower improvement in HbA1c (adjusted odds ratio [AOR] 0.75, 95% confidence interval [CI] 0.57–0.97) and BP control (AOR 0.65, 95% CI 0.53–0.81) relative to the white British patient group. Variations in prescribing and achievement of treatment targets between ethnic groups present in 2003 were not attenuated in 2005.ConclusionsPay-for-performance incentives have not addressed disparities in the management and control of diabetes between ethnic groups. Quality improvement initiatives must place greater emphasis on minority communities to avoid continued disparities in mortality from cardiovascular disease and the other major complications of diabetes.
Millett C, Car J, Eldred D, et al., 2007, Diabetes prevalence, process of care and outcomes in relation to practice size, caseload and deprivation: national cross-sectional study in primary care, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 100, Pages: 275-283, ISSN: 0141-0768
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- Citations: 57
Millett C, Gray J, Saxena S, et al., 2007, Does pay for performance in primary care reduce ethnic group variations in diabetes management and control? Results from the Wandsworth Prospective Diabetes Study, DIABETIC MEDICINE, Vol: 24, Pages: 63-63, ISSN: 0742-3071
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