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Table 2 Topic guide

From: `Just another incentive scheme’: a qualitative interview study of a local pay-for-performance scheme for primary care

Section

Types of questions/prompts

Background

What is your professional background?

 

How many years have you been qualified?

 

How many sessions do you work in a usual week?

 

How would you describe your role in the practice?

General

What has your involvement been in developing the local QOF?

What has your involvement been in implementing the local QOF within your practice?

Your opinions

Appropriateness of incentivised targets

Robustness/credibility of evidence base

Costs

Relevance

Clinical benefit

Local population needs

Fairness of indicators

Distribution of workload

Scope for gaming

Implications for tackling inequalities

Acceptability of targets

Compare to national targets

How does the local scheme work?

How does the scheme influence what you do?

Ownership of change/engagement

Motivation (intrinsic and extrinsic)

Social comparison, performance management and surveillance

Organisational means employed to achieve targets

Consequences

Effect on practice staff and consultations

- Benefits and unintended consequences

Effect on patients and patient care

- Benefits and unintended consequences

Change required to achieve targets

Are you still maintaining these targets even though the scheme has ended?

How could local QOF be modified and/or improved?

How it should be introduced

How implemented on a day to day basis in the practice

Local versus national benefits and harms?

Anything else that you would like to add?