ArticleMedical care research and review : MCRR2002
From physician to consumer: the effectiveness of strategies to manage health care utilization.
Article in Medical care research and review : MCRR, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 36 citations in OpenAlex.
- The effect of medication cost transparency alerts on prescriber behavior.Journal of the American Medical Informatics Association : JAMIA · 2019Trial
- Disruptions to the patient-provider relationship and patient utilization and outcomes: Evidence from medicaid managed care.Journal of health economics · 2022Article
- GENETIC DUTIES.William and Mary law review · 2020Article
- Fixed effects analysis of the incidence of cardiovascular outcomes under managed care following the managed care backlash.Medicine · 2020Observational
- The effects of gatekeeping on the quality of primary care in Guangdong Province, China: a cross-sectional study using primary care assessment tool-adult edition.BMC family practice · 2019Article
- Physician organization care management capabilities associated with effective inpatient utilization management: a fuzzy set qualitative comparative analysis.BMC health services research · 2014Article
- Contemporary quality of life issues affecting gynecologic cancer survivors.Hematology/oncology clinics of North America · 2012Review
- Managing care? Medicare managed care and patient use of cardiologists.Health services research · 2010Article
- [Scientific evidence and the cost of innovations in the health-care system].Medizinische Klinik (Munich, Germany : 1983) · 2009Article
- Work system design for patient safety: the SEIPS model.Quality & safety in health care · 2006Review
- Overprescribing of lipid lowering agents.Quality & safety in health care · 2006Article
- Randomized pilot study to disseminate caries-control services in dentist offices.BMC oral health · 2006Article
- Association between elder self-neglect and hospice utilization in a community population.Archives of gerontology and geriatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Many strategies are commonly used to influence physician behavior in managed care organizations. This review examines the effectiveness of three mechanisms to influence physician behavior: financial incentives directed at providers or patients, policies/procedures for managing care, and the selection/education of both providers and patients. The authors reach three conclusions. First, all health care systems use financial incentives, but these mechanisms are shifting away from financial incentives directed at the physician to those directed at the consumer. Second, heavily procedural strategies such as utilization review and gatekeeping show some evidence of effectiveness but are highly unpopular due to their restrictions on physician and patient choice. Third, a future system built on consumer choice is contradicted by mechanisms that rely solely on narrow networks of providers or the education of physicians. If patients become the new locus of decision making in health care, provider-focused mechanisms to influence physician behavior will not disappear but are likely to decline in importance.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.