Improving Physician Performance Through Peer Comparison Feedback
Bibliographic Data
| ID | 9102074 |
|---|---|
| Authors | Richard N Winickoff (United States Department of Veterans Affairs, corresponding author), Kathy L Coltin, Mary Morgan (Massachusetts General Hospital), Mary M Morgan, Robert C Buxbaum, G Octo Barnett (Massachusetts General Hospital) |
| Year | 1984 |
| Volume | 22 |
| Issue | 6 |
| Pages | 527-534 |
| Publication date | 1984-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198406000-00003 |
| PMID | 6738143 |
| OpenAlex | W2061108081 |
| Language | EN |
| Citations received | 15 |
| References cited | 4 |
A project to improve physician performance in colorectal cancer screening was evaluated as part of an ambulatory quality assurance program. A minimum standard was adopted requiring a digital examination and stool test for occult blood at annual check-ups of patients aged 40 years and older. During a 31/2-year period, three different intervention strategies for improved compliance with the standard were sequentially implemented and assessed: educational meeting, retrospective feedback of group compliance rate, and retrospective feedback of individual compliance rate compared with that of peers. A pretest/posttest design was employed in evaluating the first two intervention strategies. Neither strategy resulted in significant improvement in compliance. Monthly feedback of individual performance ranked with that of peers was then implemented in a randomized clinical trial utilizing a crossover design. During the first 6-month period, the physicians receiving feedback (group 1) improved from 66.0% to 79.9% (P less than 0.001), while the control group (group 2) also improved, from 67.5% to 76.6% (P less than 0.001), suggesting a spillover effect. During the second 6-month period, group 2 received feedback and group 1 did not. Group 1 stabilized at approximately 80% while group 2 continued to improve from 76.6% to 84.0% (P less than 0.001). Behavior changes persisted at 6 and 12 months after intervention
Alternative medicine · Ambulatory · Crossover study · Intervention (counseling) · Physical therapy · Quality assurance · Randomized controlled trial · Retrospective cohort study · Innovations in Medical Education · Internal Medicine · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Influencing Behavior of Physicians Ordering Laboratory Tests
Promoting Screening Mammography in Inner-City Settings
A Successful Experiment to Reduce Unnecessary Laboratory Use in a Community Hospital
Physician Education and Peer Comparisons to Reduce Cardiovascular Risk Among People Living with HIV
Promoting long-acting reversible contraception among post-abortion clients with a provider-comparison intervention
Individualized performance feedback to increase prenatal domestic violence screening
Feedback quality and performance in organisations
Effects of Physician Outreach Programs on Rural‐Urban Differences in Breast Cancer Management
Interventions to improve the delivery of preventive services in primary care
Quality assurance and computer-based patient records
Promoting preventive care
Limitations of provider interventions in hypertension quality assurance
Improving influenza vaccination performance in an HMO setting
Physician financial incentives and feedback
Physician Utilization
Utilization Review as a Means of Continuing Education
Quality Assurance through Automated Monitoring and Concurrent Feedback Using a Computer-Based Medical Information System
Computer-based Audit to Detect and Correct Overutilization of Laboratory Tests
A Computer-Based Monitoring System for Follow-Up of Elevated Blood Pressure
| Unique citing works | 15 |
|---|---|
| Citations per year | 0,37 |
| Citation span | 1985 - 2026 (42) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 12 |