Trial reportThe American journal of managed care2012
Financial incentives and physician commitment to guideline-recommended hypertension management.
Trial report in The American journal of managed care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00302718 (RCT of Financial Incentives to Translate ALLHAT Into Practice), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.
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.
RCT of Financial Incentives to Translate ALLHAT Into Practice
Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Developing and validating a comprehensive measure of coordination in patient aligned care teams.BMC health services research · 2022Pooled it
- Pay-for-Performance and Veteran Care in the VHA and the Community: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Feedback GAP: pragmatic, cluster-randomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care.Implementation science : IS · 2013Trial
- Trial
- Article
- Calculations of Financial Incentives for Providers in a Pay-for-Performance Program: Manual Review Versus Data From Structured Fields in Electronic Health Records.Medical care · 2015Article
- No more 'business as usual' with audit and feedback interventions: towards an agenda for a reinvigorated intervention.Implementation science : IS · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo examine the impact of financial incentives on physician goal commitment to guideline-recommended hypertension care. STUDY
designClinic-level cluster-randomized trial with 4 arms: individual, group, or combined incentives, and control.
methodsA total of 83 full-time primary care physicians at 12 Veterans Affairs medical centers completed web-based surveys measuring their goal commitment to guideline-recommended hypertension care every 4 months and telephone interviews at months 8 and 16. Intervention arm participants received performance-based incentives every 4 months for 5 periods. All participants received guideline education at baseline and audit and feedback every 4 months.
resultsPhysician goal commitment did not vary over time or across arms. Participants reported patient nonadherence was a perceived barrier and consistent follow-up was a perceived facilitator to successful hypertension care, suggesting that providers may perceive hypertension management as more of a patient responsibility (external locus of control).
conclusionsFinancial incentives may constitute an insufficiently strong intervention to influence goal commitment when providers attribute performance to external forces beyond their control.
Indexed as
Identifiers
23145846PMC4169298What 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.