We assessed quality mainly for incident conditions to reduce recall bias by asking about relatively recent events. The exceptions, when we assessed quality for prevalent conditions, were diabetes because several of the quality indicators referred to annual assessments that might not have been done if we had assessed incident disease, and hearing problems, osteoporosis, smoking cessation, and vision problems because the quality indicators referred to interventions that were considered more memorable over time.We classified the quality indicators into one of three domains of care: screening and prevention, diagnosis, and treatment and follow up. Each of the 13 conditions was classified into one of two clinical categories, general medical or geriatric care, and one of two policy categories, according to whether or not the condition was included in the UK general practice pay for performance contract 2004 5 (see table 1).10 Conditions classified within the area of geriatric care were falls, osteoarthritis, urinary incontinence, vision problems (cataract), hearing problems, and osteoporosis.
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