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

G. Fairbrother, K.L. Hanson, S. Friedman and G.C. Butts

American Journal of Public Health, 1999, vol. 89, issue 2, 171-175

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

Date: 1999
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1999:89:2:171-175_6

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