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The Quality and Outcomes Framework (QOF) was introduced in 2004 across all family practices in the UK to reward high quality primary care, and over £10bn has since been invested in the programme. Although the incentive scheme does not fully capture quality in primary care, it does cover many important aspects, especially within its clinical domain.
The use of Electronic Health Records databases for medical research has become mainstream. In the UK, increasing use of Primary Care Databases is largely driven by almost complete computerisation and uniform standards within the National Health Service. Electronic Health Records research often begins with the development of a list of clinical codes with which to identify cases with a specific condition.
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