Mant D, Phillips A, Knightley M
Br Med J (Clin Res Ed). 1986 Oct 18;293(6553):995-7. doi: 10.1136/bmj.293.6553.995.
The recent discussion document on primary health care proposes that a good practice allowance is paid to general practitioners based in part on the uptake of immunisation by patients. The variation between and the validity of practice immunisation rates for measles as determined by one district health authority's child health computer are assessed. In areas of low population mobility district health authority rates may be sufficiently accurate to base a good practice allowance on but should not be used until the social environment of each practice can also be characterised. In areas of high mobility intermittent surveys may be a preferable method of auditing performance.
最近关于初级卫生保健的讨论文件提议，部分基于患者的免疫接种情况向全科医生支付优质医疗补贴。评估了一个地区卫生当局儿童健康计算机所确定的各医疗机构麻疹免疫接种率之间的差异及其有效性。在人口流动性较低的地区，地区卫生当局的接种率可能足够准确，可以作为优质医疗补贴的依据，但在能够描述每个医疗机构的社会环境之前不应使用。在人口流动性较高的地区，间歇性调查可能是审计绩效的一种更可取的方法。
