Physician financial incentives and feedback : Failure to increase cancer screening in Medicaid managed care.
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 Medicail health maintenance organization (HMO).
Half of 52 primary care sites received the intervention, which included written feedbakc and a financial bonus.
Mammography, breast exam, colorectal screening, and Pap testing compliance rates were evaluated.
From 1993 to 1995, screening rates doubled overall (from 24% to 50%), with no significant differences between intervention and control group sites.
Financial incentives and feedback did not improve physician compliance with cancer screening guidelines in a Medicaid HMO.
Mots-clés Pascal : Soin intégré, Dépistage, Tumeur maligne, Incitation, Médecin, Pratique professionnelle, Côlon, Rectum, Glande mammaire, Col utérus, Homme, Femelle, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Glande mammaire pathologie, Appareil génital femelle pathologie, Col utérus pathologie, Medicaid
Mots-clés Pascal anglais : Managed care, Medical screening, Malignant tumor, Incentive, Physician, Professional practice, Colon, Rectum, Mammary gland, Uterine cervix, Human, Female, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Mammary gland diseases, Female genital diseases, Uterine cervix diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0000444
Code Inist : 002B20E02. Création : 31/05/1999.