Résumé :
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[BDSP. Notice produite par INIST R0xw35Lv. Diffusion soumise à autorisation]. 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 Medicail health maintenance organization (HMO). Methods. Half of 52 primary care sites received the intervention, which included written feedbakc 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.
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