Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care.

Abstract:

OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which included written feedback and a financial bonus. Mammography, breast exam, colorectal screening, and Pap testing compliance rates were evaluated. RESULTS:From 1993 to 1995, screening rates doubled overall (from 24% to 50%), with no significant differences between intervention and control group sites. CONCLUSIONS:Financial incentives and feedback did not improve physician compliance with cancer screening guidelines in a Medicaid HMO.

journal_name

Am J Public Health

authors

Hillman AL,Ripley K,Goldfarb N,Nuamah I,Weiner J,Lusk E

doi

10.2105/ajph.88.11.1699

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

1699-701

issue

11

eissn

0090-0036

issn

1541-0048

journal_volume

88

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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