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Titolo:
Impact of financial incentives on documented immunization rates in the inner city: Results of a randomized controlled trial
Autore:
Fairbrother, G; Siegel, MJ; Friedman, S; Kory, PD; Butts, GC;
Indirizzi:
New York City Dept Hlth, Family Hlth Serv, New York, NY 10013 USA New YorkCity Dept Hlth New York NY USA 10013 erv, New York, NY 10013 USA Montefiore Med Ctr, Albert Einstein Coll Med, Bronx, NY 10467 USA Montefiore Med Ctr Bronx NY USA 10467 stein Coll Med, Bronx, NY 10467 USA Mt Sinai Sch Med, Dept Med Educ, New York, NY USA Mt Sinai Sch Med New York NY USA ch Med, Dept Med Educ, New York, NY USA Montefiore Med Ctr, Albert Einstein Coll Med, Dept Epidemiol & Social Med,Bronx, NY USA Montefiore Med Ctr Bronx NY USA ept Epidemiol & Social Med,Bronx, NY USA New York City Dept Hlth, New York, NY 10013 USA New York City Dept Hlth New York NY USA 10013 lth, New York, NY 10013 USA Yale Univ, Dept Epidemiol & Publ Hlth, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 iol & Publ Hlth, New Haven, CT 06520 USA New York Acad Med, Div Hlth & Sci & Policy, Dept Epidemiol & Social Med, New York, NY 10029 USA New York Acad Med New York NY USA 10029 ocial Med, New York, NY 10029 USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 4, volume: 1, anno: 2001,
pagine: 206 - 212
SICI:
1530-1567(200107/08)1:4<206:IOFIOD>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFLUENZA IMMUNIZATION; VACCINATION COVERAGE; MANAGED-CARE; FEEDBACK; PERFORMANCE; PHYSICIANS; CHILDREN; MEDICAID; FAILURE; PROGRAM;
Keywords:
bonus; financial incentives; immunization; incentives;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Fairbrother, G New York Acad Med, Div Hlth & Sci & Policy, Dept Epidemiol & Social Med, 1216 5th Ave, New York, NY 10029 USA New York Acad Med 1216 5th Ave New York NY USA 10029 29 USA
Citazione:
G. Fairbrother et al., "Impact of financial incentives on documented immunization rates in the inner city: Results of a randomized controlled trial", AMBU PEDIAT, 1(4), 2001, pp. 206-212

Abstract

Objective.-This study determined the effect of 2 financial incentives-bonus and enhanced fee-for-service-on documented immunization rates during a second period of observation. Methods.-Incentives were given to 57 randomly selected inner-city physicians 4 times at 4-month intervals based on the performance of 50 randomly selected children. Coverage from linked records from all sources was determined for a subsample of children within physician offices. Results.-Up-to-date coverage rates documented in the charts increased significantly for children in the bonus group (49.7% to 55.6%; P < .05) and theenhanced fee-for-service group (50.8% to 58.2%; P < .01) compared with thecontrol group. The number of immunizations given by these physicians did not change significantly, although the number of immunizations given by others and documented by physicians in the bonus group did increase (P < .05). Up-to-date coverage for all groups increased from 20 to 40 percentage points when immunizations front physician charts were combined with other sources. Conclusions.-Both financial incentives produced a significant increase in coverage levels. Increases were primarily due to better documentation not to better immunizing practices. The financial incentives appeared to providemotivation to physicians but were not sufficient to overcome entrenched behavior patterns. However, true immunization coverage was substantially higher than that documented in the charts.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 12:51:27