Titre :
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The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates. (1999)
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Auteurs :
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G. FAIRBROTHER ;
G.C. BUTTS ;
S. FRIEDMAN ;
K.L. HANSON
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 89, n° 2, 1999)
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Pagination :
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171-175
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Langues:
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Anglais
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Mots-clés :
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Vaccination
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Prévention santé
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Etats Unis
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Amérique
;
Médecin
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Profession santé
;
Programme élargi vaccination
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Programme santé
;
Politique santé
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Financement
;
Enfant
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Homme
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Honoraires
;
Rémunération
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST dmQUR0x3. Diffusion soumise à autorisation]. Objectives. The purpose of this study was to examine the effects on immunization coverage of 3 incentives for physicians-a cash bonus for practive-wide increases, enhanced fee for service, and feedback Methods. Incentives were applied at 4-month intervais over 1 year among 60 inner-city office-based pediatricians. At each interval, charts of 50 randomly selected children between 3 and 35 months of age were reviewed per physician. Results. The percentage of children who were up to date for diphtheria, tetanus, and pertussis and Haemophilus influenzae type be polio, and measles mumps-rubella immunization in the study's bonus group improved by 25.3 percentage points (p<. no significant changes occurred in the other groups. however percentage of immanizations received outside particapating practice also increased significantly bonus group levels missed opporturnities to immunize were high all groups and did not change over time. physicians contraindications was low. conclusions horuses sharply rapidly immunization coverage medical records. much increase result better documentation. a is powerful incentive but more structure or education may be necessary achieve desired results.>
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