Suchergebnisse

This is the final version. Available on open access from BMJ Publishing Group via the DOI in this record ; Data sharing: Technical appendix and statistical code available from the corresponding author (tim.doran@manchester.ac.uk). The dataset was derived from the General Practice Research Database and is not available from the authors, but it can be derived on application to GPRD. ; OBJECTIVE: To investigate whether the incentive scheme for UK general practitioners led them to neglect activities not included in the scheme. DESIGN: Longitudinal analysis of achievement rates for 42 activities (23 included in incentive scheme, 19 not included) selected from 428 identified indicators of quality of care. SETTING: 148 general practices in England (653 500 patients). MAIN OUTCOME MEASURES: Achievement rates projected from trends in the pre-incentive period (2000-1 to 2002-3) and actual rates in the first three years of the scheme (2004-5 to 2006-7). RESULTS: Achievement rates improved for most indicators in the pre-incentive period. There were significant increases in the rate of improvement in the first year of the incentive scheme (2004-5) for 22 of the 23 incentivised indicators. Achievement for these indicators reached a plateau after 2004-5, but quality of care in 2006-7 remained higher than that predicted by pre-incentive trends for 14 incentivised indicators. There was no overall effect on the rate of improvement for non-incentivised indicators in the first year of the scheme, but by 2006-7 achievement rates were significantly below those predicted by pre-incentive trends. CONCLUSIONS: There were substantial improvements in quality for all indicators between 2001 and 2007. Improvements associated with financial incentives seem to have been achieved at the expense of small detrimental effects on aspects of care that were not incentivised. ; There was no direct funding for this study, but the National Primary Care Research and Development Centre receives core funding from the UK Department of Health.

The University of Texas at Austin's Policy Research Project (PRP), a nine-month (two semesters) capstone, is a keystone of the core curriculum at the LBJ School of Public Affairs. In PRPs, small groups of students, under the mentorship of a faculty director, take on real-world problems that require special knowledge and skill sets. PRPs expose students to challenges in formulating and executing research, and in communicating academic research and related complex data to broader stakeholder communities and decision makers. The PRP structure is an innovative and effective approach for integrating research within the teaching and training of graduate students who are preparing themselves to address important real-world problems at the intersection of society, economics, technology, and policy. The project summaries below describe seven papers developed during September 2017 – May 2018 as part of a PRP on "Diffusion of Innovations: Interplay of Social, Economic, Technological, and Policy Drivers in the Solar Industry." Twenty graduate students, drawn from the LBJ School's Masters in Public Affairs and Masters in Global Policy Studies programs and the Jackson School Geoscience's Energy and Earth Resources program, participated in this PRP. Dr. Varun Rai, Associate Professor and Associate Dean for Research at the LBJ School, directed the PRP, with support from his research team including: Dr. Ariane Beck, Dr. Ashok Sekar, D. Cale Reeves, and Erik Funkhouser. Clients for the project included the U.S. Department of Energy (Casey Canfield), Lawrence Berkeley National Laboratory (Ben Hoen, Galen Barbose Joachim Seel, Naïm Darghouth, Ryan Wiser), and National Renewable Energy Laboratory (Benjamin Sigrin, Eric O'Shaughnessy). The seven projects separately addressed one of the following topics: (1) low- and middle-income PV adoption, (2) modeling economic and information intervention design, (3) evaluation of DOE's Solar in Your Community Challenge, (4) property value impacts near large-scale solar facilities, (5) solar market maturity and evolution of business models, (6) social media data for predicting PV adoption, and (7) individual-level variation in adoption of innovations. Many of the papers relied on data collected and curated by Lawrence Berkeley National Laboratory, including data embedded within the annual Tracking the Sun and Utility-Scale Solar reports. Each of the seven teams in the PRP prepared a research paper. The PRP culminated with a full-day conference at UT Austin in May 2018 to present findings from the seven projects in this PRP to a broad audience of about 75 experts from academia, national labs, industry, and government from across the country.