Town Robert, Kane Robert, Johnson Paul, Butler Mary
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.
Am J Prev Med. 2005 Feb;28(2):234-40. doi: 10.1016/j.amepre.2004.10.013.
A systematic review of the randomized trial literature examining the impact of financial incentives on provider preventive care delivery was conducted. English-language studies published between 1966 and 2002 that addressed primary or secondary preventive care or health promotion behaviors were included in the review. Six studies that met the inclusion criteria were identified, which generated eight different findings. The literature is sparse. Of the eight financial interventions reviewed, only one led to a significantly greater provision of preventive services. The lack of a significant relationship does not necessarily imply that financial incentives cannot motivate physicians to provide more preventive care. The rewards offered in these studies tend to be small. Therefore, the results suggest that small rewards will not motivate doctors to change their preventive care routines.
我们对考察经济激励措施对医疗服务提供者预防性医疗服务提供情况影响的随机试验文献进行了系统综述。纳入综述的是1966年至2002年间发表的、涉及一级或二级预防性医疗服务或健康促进行为的英文研究。共识别出六项符合纳入标准的研究，这些研究产生了八项不同的结果。相关文献较少。在所综述的八项经济干预措施中，只有一项导致预防性服务的提供显著增加。缺乏显著关联并不一定意味着经济激励措施无法促使医生提供更多预防性医疗服务。这些研究中提供的奖励往往较少。因此，研究结果表明小额奖励不会促使医生改变他们的预防性医疗服务常规。
