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Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care.
Am J Public Health. 1998 Nov; 88(11):1699-701.AJ

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.

Authors+Show Affiliations

University of Pennsylvania, Philadelphia, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9807540

Citation

Hillman, A L., et al. "Physician Financial Incentives and Feedback: Failure to Increase Cancer Screening in Medicaid Managed Care." American Journal of Public Health, vol. 88, no. 11, 1998, pp. 1699-701.
Hillman AL, Ripley K, Goldfarb N, et al. Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care. Am J Public Health. 1998;88(11):1699-701.
Hillman, A. L., Ripley, K., Goldfarb, N., Nuamah, I., Weiner, J., & Lusk, E. (1998). Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care. American Journal of Public Health, 88(11), 1699-701.
Hillman AL, et al. Physician Financial Incentives and Feedback: Failure to Increase Cancer Screening in Medicaid Managed Care. Am J Public Health. 1998;88(11):1699-701. PubMed PMID: 9807540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care. AU - Hillman,A L, AU - Ripley,K, AU - Goldfarb,N, AU - Nuamah,I, AU - Weiner,J, AU - Lusk,E, PY - 1998/11/10/pubmed PY - 1998/11/10/medline PY - 1998/11/10/entrez SP - 1699 EP - 701 JF - American journal of public health JO - Am J Public Health VL - 88 IS - 11 N2 - 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. SN - 0090-0036 UR - https://www.unboundmedicine.com/medline/citation/9807540/Physician_financial_incentives_and_feedback:_failure_to_increase_cancer_screening_in_Medicaid_managed_care_ L2 - https://www.ajph.org/doi/10.2105/ajph.88.11.1699?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -