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The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates

Author

Listed:
  • Fairbrother, G.
  • Hanson, K.L.
  • Friedman, S.
  • Butts, G.C.

Abstract

Objectives. The purpose of this study was to examine the effects on immunization coverage of 3 incentives for physicians - a cash bonus for practice-wide increases, enhanced fee for service, and feedback. Methods. Incentives were applied at 4-month intervals 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 b; polio; and measles-mumps- rubella immunization in the study's bonus group improved by 25.3 percentage points (P

Suggested Citation

  • Fairbrother, G. & Hanson, K.L. & Friedman, S. & Butts, G.C., 1999. "The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates," American Journal of Public Health, American Public Health Association, vol. 89(2), pages 171-175.
    • Handle: RePEc:aph:ajpbhl:1999:89:2:171-175_6
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    Cited by:

    1. Rodriguez, Marisol & Scheffler, Richard M. & Agnew, Jonathan D., 2000. "An update on Spain's health care system: is it time for managed competition?," Health Policy, Elsevier, vol. 51(2), pages 109-131, March.
    2. Claudia Keser & Emmanuel Peterlé & Cornelius Schnitzler, 2014. "Money talks - Paying physicians for performance," CIRANO Working Papers 2014s-41, CIRANO.
    3. Grant Miller & Kimberly Singer Babiarz, 2013. "Pay-for-Performance Incentives in Low- and Middle-Income Country Health Programs," NBER Working Papers 18932, National Bureau of Economic Research, Inc.
    4. Merilind, Eero & Salupere, Rauno & Västra, Katrin & Kalda, Ruth, 2015. "The influence of performance-based payment on childhood immunisation coverage," Health Policy, Elsevier, vol. 119(6), pages 770-777.
    5. Kauhanen, Antti & Salmi, Julia & Torkki, Paulus, 2013. "Performance Measurement in Healthcare Incentive Plans," ETLA Working Papers 18, The Research Institute of the Finnish Economy.
    6. Jinhu Li & Jeremiah Hurley & Philip DeCicca & Gioia Buckley, 2014. "Physician Response To Pay‐For‐Performance: Evidence From A Natural Experiment," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 962-978, August.
    7. Hasnain, Zahid & Manning, Nick & Pierskalla Henryk, 2012. "Performance-related pay in the public sector : a review of theory and evidence," Policy Research Working Paper Series 6043, The World Bank.
    8. Singh, Prakarsh & Masters, William A., 2017. "Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India," Journal of Health Economics, Elsevier, vol. 55(C), pages 219-231.
    9. Barber, Sarah L. & Gertler, Paul J., 2008. "Strategies that promote high quality care in Indonesia," Health Policy, Elsevier, vol. 88(2-3), pages 339-347, December.
    10. Lin, Tzu-Yu & Chen, Chia-Yu & Huang, Yu Tang & Ting, Ming-Kuo & Huang, Jui-Chu & Hsu, Kuang-Hung, 2016. "The effectiveness of a pay for performance program on diabetes care in Taiwan: A nationwide population-based longitudinal study," Health Policy, Elsevier, vol. 120(11), pages 1313-1321.

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