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Am J Public Health. 1998 Nov;88(11):1699-701.

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

Author information

1
University of Pennsylvania, Philadelphia, USA.

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.

PMID:
9807540
PMCID:
PMC1508575
DOI:
10.2105/ajph.88.11.1699
[Indexed for MEDLINE]
Free PMC Article

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