Physician financial incentives and feedback: Failure to increase cancer screening in Medicaid managed care
Physician financial incentives and feedback: Failure to increase cancer screening in Medicaid managed care
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DOI：
10.2105/ajph.88.11.1699
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发表时间：
1998-11-01
影响因子：
12.7
通讯作者：
Lusk, E
中科院分区：
文献类型：
--
作者：
Hillman, AL;Ripley, K;Lusk, E
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.
