Hillman A L, Ripley K, Goldfarb N, Nuamah I, Weiner J, Lusk E
University of Pennsylvania, Philadelphia, USA.
Am J Public Health. 1998 Nov;88(11):1699-701. doi: 10.2105/ajph.88.11.1699.
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).
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.
From 1993 to 1995, screening rates doubled overall (from 24% to 50%), with no significant differences between intervention and control group sites.
Financial incentives and feedback did not improve physician compliance with cancer screening guidelines in a Medicaid HMO.
一项随机对照试验评估了反馈和经济激励措施对医疗补助健康维护组织（HMO）中50岁及以上女性癌症筛查指南的医生依从性的影响。
52个初级保健机构中有一半接受了干预，其中包括书面反馈和经济奖励。评估了乳房X光检查、乳房检查、结肠直肠癌筛查和巴氏试验的依从率。
从1993年到1995年，总体筛查率翻了一番（从24%提高到50%），干预组和对照组机构之间没有显著差异。
在医疗补助健康维护组织中，经济激励和反馈并未提高医生对癌症筛查指南的依从性。
