Journal article
The impact of removing financial incentives and/or audit and feedback on chlamydia testing in general practice: A cluster randomised controlled trial (ACCEPt-able)
JS Hocking, A Wood, M Temple-Smith, S Braat, M Law, L Bulfone, C Jones, M van Driel, CK Fairley, B Donovan, R Guy, N Low, J Kaldor, J Gunn
Plos Medicine | Published : 2022
Abstract
Background Financial incentives and audit/feedback are widely used in primary care to influence clinician behaviour and increase quality of care. While observational data suggest a decline in quality when these interventions are stopped, their removal has not been evaluated in a randomised controlled trial (RCT), to our knowledge. This trial aimed to determine whether chlamydia testing in general practice is sustained when financial incentives and/or audit/ feedback are removed. Methods and findings We undertook a 2 × 2 factorial cluster RCT in 60 general practices in 4 Australian states targeting 49,525 patients aged 16–29 years for annual chlamydia testing. Clinics were recruited between J..
View full abstractGrants
Awarded by National Health and Medical Research Council
Awarded by NHMRC Senior Research Fellowship
Awarded by NHMRC Practitioner Fellowship
Funding Acknowledgements
ACCEPt-able was funded by the National Health and Medical Research Council (NHMRC 1063597;named grant investigators included JSH, MTS, RG, JG, MvD, NL, LB; funder URL:https://www.nhmrc.gov.au/).JSH was supported by a NHMRC Senior Research Fellowship (1042907; https://www.nhmrc.gov.au/) and BD was supported by a NHMRC Practitioner Fellowship (1061035; https://www.nhmrc.gov.au/).The trial was investigator initiated. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.