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The Quality and Outcomes Framework: Body commodification in UK General Practice
Durham University.
Durham University.
Durham University.
2016 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 170, 77-86 p.Article in journal (Refereed) Published
Abstract [en]

The UK's Quality and Outcomes Framework (QOF) is the largest pay-for-performance scheme in the world. This ethnographic study explored how QOF's monetary logic influences the approach to healthcare in UK general practice. From August 2013 to April 2014, we researched two UK general practice surgeries and one general practice training programme. These environments provided the opportunity for studying various spaces such as QOF meetings, consultation rooms, QOF recoding sessions, and the collection of computer-screen images depicting how patients' biomarkers are evaluated and costed through software systems. QOF as a biomedical technology has led to the commodification of patients and their bodies. This complex phenomenon breaks down into three main themes: commodification of patients, QOF as currency, and valuing commodities. Despite the ostensible aim of QOF being to improve healthcare in general practice, it is accompanied by a body commodification process. The interface between patients and care providers has been commodified, with QOF's pricing mechanism and fragmentation of care provision performing an important role in animating the UK economy.

Place, publisher, year, edition, pages
2016. Vol. 170, 77-86 p.
Keyword [en]
Commodification; Pay-for-Performance; Health technology; Health policy; Clinical governance; Audit culture; General practice; United Kingdom
National Category
Social Anthropology Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-332257DOI: 10.1016/j.socscimed.2016.10.009OAI: oai:DiVA.org:uu-332257DiVA: diva2:1152645
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2017-10-26

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Merli, Claudia
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  • de-DE
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  • en-US
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