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Pay-for-performance P4P models are intended to promote quality of care in both hospitals and primary care settings. They are considered as a means of changing medical practices, particularly in primary care. The second objective was to focus on the area with the least improvement in ROSP scores and to investigate whether the scores and the available sociodemographic characteristics of the area were associated.
First, we measured the evolution over time of P4P indicators i. We then compared the scores between the Aube Department and the rest of the region urban areas. To address the second objective, we focused on the area found to have the least improvement in indicators to investigate whether there was a relationship between ROSP score and sociodemographic characteristics.
More than 40, scores were collected. We observed an overall improvement in scores over the study period. The urban area Grand Est region minus the Aube scored better than the rural area Aube for chronic disease management [median 0.
In the rural area, we found no significant association between ROSP scores and sociodemographic characteristics, except for extreme rurality in some sub-areas. At the regional level, the overall improvement in scores observed between and suggests that the implementation of ROSP indicators have improved the quality of care, particularly in urban areas.
