Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22648
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dc.contributor.authorHoddinott, Paten_UK
dc.contributor.authorThomson, Gillen_UK
dc.contributor.authorMorgan, Heatheren_UK
dc.contributor.authorCrossland, Nicolaen_UK
dc.contributor.authorMacLennan, Graemeen_UK
dc.contributor.authorDykes, Fionaen_UK
dc.contributor.authorStewart, Fionaen_UK
dc.contributor.authorBauld, Lindaen_UK
dc.contributor.authorCampbell, Marion Ken_UK
dc.date.accessioned2016-02-27T01:27:56Z-
dc.date.available2016-02-27T01:27:56Z-
dc.date.issued2015-11-13en_UK
dc.identifier.othere008492en_UK
dc.identifier.urihttp://hdl.handle.net/1893/22648-
dc.description.abstractObjective: To explore the acceptability, mechanisms and consequences of provider incentives for smoking cessation and breast feeding as part of the Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS) study.  Design: Cross-sectional survey and qualitative interviews.  Setting: Scotland and North West England.  Participants: Early years professionals: 497 survey respondents included 156 doctors; 197 health visitors/maternity staff; 144 other health staff. Qualitative interviews or focus groups were conducted with 68 pregnant/postnatal women/family members; 32 service providers; 22 experts/decision-makers; 63 conference attendees.  Methods: Early years professionals were surveyed via email about the acceptability of payments to local health services for reaching smoking cessation in pregnancy and breastfeeding targets. Agreement was measured on a 5-point scale using multivariable ordered logit models. A framework approach was used to analyse free-text survey responses and qualitative data.  Results: Health professional net agreement for provider incentives for smoking cessation targets was 52.9% (263/497); net disagreement was 28.6% (142/497). Health visitors/maternity staff were more likely than doctors to agree: OR 2.35 (95% CI 1.51 to 3.64; p<0.001). Net agreement for provider incentives for breastfeeding targets was 44.1% (219/497) and net disagreement was 38.6% (192/497). Agreement was more likely for women (compared with men): OR 1.81 (1.09 to 3.00; p=0.023) and health visitors/maternity staff (compared with doctors): OR 2.54 (95% CI 1.65 to 3.91; p<0.001). Key emergent themes were ‘moral tensions around acceptability’, ‘need for incentives’, ‘goals’, ‘collective or divisive action’ and ‘monitoring and proof’. While provider incentives can focus action and resources, tensions around the impact on relationships raised concerns. Pressure, burden of proof, gaming, box-ticking bureaucracies and health inequalities were counterbalances to potential benefits.  Conclusions: Provider incentives are favoured by non-medical staff. Solutions which increase trust and collaboration towards shared goals, without negatively impacting on relationships or increasing bureaucracy are required.en_UK
dc.language.isoenen_UK
dc.publisherBMJ Publishing Groupen_UK
dc.relationHoddinott P, Thomson G, Morgan H, Crossland N, MacLennan G, Dykes F, Stewart F, Bauld L & Campbell MK (2015) Perspectives on financial incentives to health service providers for increasing breast feeding and smoking quit rates during pregnancy: a mixed methods study. BMJ Open, 5 (11), Art. No.: e008492. https://doi.org/10.1136/bmjopen-2015-008492en_UK
dc.rightsThis is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.titlePerspectives on financial incentives to health service providers for increasing breast feeding and smoking quit rates during pregnancy: a mixed methods studyen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1136/bmjopen-2015-008492en_UK
dc.identifier.pmid26567253en_UK
dc.citation.jtitleBMJ Openen_UK
dc.citation.issn2044-6055en_UK
dc.citation.volume5en_UK
dc.citation.issue11en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailp.m.hoddinott@stir.ac.uken_UK
dc.citation.date13/11/2015en_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity of Central Lancashireen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Central Lancashireen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Central Lancashireen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.identifier.isiWOS:000368840100064en_UK
dc.identifier.scopusid2-s2.0-84947277682en_UK
dc.identifier.wtid581788en_UK
dc.contributor.orcid0000-0002-4372-9681en_UK
dc.date.accepted2015-07-21en_UK
dcterms.dateAccepted2015-07-21en_UK
dc.date.filedepositdate2016-01-06en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorHoddinott, Pat|0000-0002-4372-9681en_UK
local.rioxx.authorThomson, Gill|en_UK
local.rioxx.authorMorgan, Heather|en_UK
local.rioxx.authorCrossland, Nicola|en_UK
local.rioxx.authorMacLennan, Graeme|en_UK
local.rioxx.authorDykes, Fiona|en_UK
local.rioxx.authorStewart, Fiona|en_UK
local.rioxx.authorBauld, Linda|en_UK
local.rioxx.authorCampbell, Marion K|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2016-01-06en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2016-01-06|en_UK
local.rioxx.filenameBMJ Open-2015-Hoddinott-.pdfen_UK
local.rioxx.filecount1en_UK
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