Physician financial incentives and feedback: failure to increase cancer screening in Medicaid managed care.
American Journal of Public HealthPublished 1 November 1998Open access
A L Hillman, Kimberly Ripley, Neil I. Goldfarb, Isaac Nuamah, Janet Weiner, Edward J. Lusk
Citations182
SJR quartileQ1
SJR score1.93
SNIP1.60
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TL;DR
Financial incentives and feedback did not improve physician compliance with cancer screening guidelines in a Medicaid HMO.
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.
Keywords
MedicineEconomics, Econometrics and Finance
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