{"id":1623,"date":"2014-07-14T00:00:00","date_gmt":"2014-07-14T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care\/"},"modified":"2023-06-14T19:37:24","modified_gmt":"2023-06-14T23:37:24","slug":"effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care\/","title":{"rendered":"Effect of payment incentives on cancer screening in Ontario primary care"},"content":{"rendered":"<p><strong>Purpose<\/strong> &#x2014; There is limited evidence for the effectiveness of pay for performance despite its widespread use.&#xa0;The authors&#xa0;assessed whether the introduction of a pay-for-performance scheme for primary care physicians in Ontario, Canada, was associated with increased cancer screening rates and determined the amounts paid to physicians as part of the program. <\/p>\n<p><strong>Methods<\/strong> &#x2014; The authors performed a longitudinal analysis using administrative data to determine cancer screening rates and incentive costs in each fiscal year from 1999\/2000 to 2009\/2010. The authors used a segmented linear regression analysis to assess whether there was a step change or change in screening rate trends after incentives were introduced in 2006\/2007.&#xa0;The authors&#xa0;included all Ontarians eligible for cervical, breast, and colorectal cancer screening. <\/p>\n<p><strong>Results<\/strong> &#x2014; The authors&#xa0;found no significant step change in the screening rate for any of the 3 cancers the year after incentives were introduced. Colon cancer screening was increasing at a rate of 3.0% (95% CI, 2.3% to 3.7%) per year before the incentives were introduced and 4.7% (95% CI, 3.7% to 5.7%) per year after. The cervical and breast cancer screening rates did not change significantly from year to year before or after the incentives were introduced. Between 2006\/2007 and 2009\/2010, &#x24;28.3 million, &#x24;31.3 million, and &#x24;50.0 million were spent on financial incentives for cervical, breast, and colorectal cancer screening, respectively. <\/p>\n<p><strong>Conclusions<\/strong> &#x2014; The pay-for-performance scheme was associated with little or no improvement in screening rates despite substantial expenditure. Policy makers should consider other strategies for improving rates of cancer screening.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Purpose &#x2014; There is limited evidence for the effectiveness of pay for performance despite its widespread use.&#xa0;The authors&#xa0;assessed whether the introduction of a pay-for-performance scheme for primary care physicians in Ontario, Canada, was associated with increased cancer screening rates and determined the amounts paid to physicians as part of the program. Methods &#x2014; The authors [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[38,61,62,35],"migration-helper-qa-sample-set":[],"class_list":["post-1623","journal_article","type-journal_article","status-publish","hentry","topic-cancer-and-cancer-screening","topic-health-economics","topic-health-services-research","topic-public-health"],"acf":{"citation":"Kiran T, Wilton AS, Moineddin R, Paszat L, Glazier RH. <em>Ann Fam Med.<\/em> 2014; 12(4):317-23.","source_url":"http:\/\/www.annfammed.org\/content\/12\/4\/317.long","ices_scientist":[1327,1099,1250],"site":[6733],"research_program":[],"news_release":[7313],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"0DDC3F83-DD4F-4A5B-9EC0-572AED699CDD","sitecore_item_name":"Effect-of-payment-incentives-on-cancer-screening","sitecore_field_values":"{\n  \"Title\": \"Effect of payment incentives on cancer screening in Ontario primary care\",\n  \"Short title\": \"Effect of payment incentives on cancer\",\n  \"Summary\": \"The authors assessed whether the introduction of a pay-for-performance scheme for primary care physicians in Ontario, Canada, was associated with increased cancer screening rates.\",\n  \"Citation\": \"<p>Kiran T, Wilton AS, Moineddin R, Paszat L, Glazier RH. <em>Ann Fam Med.<\/em> 2014; 12(4):317-23.<\/p>\",\n  \"Abstract\": \"<p><strong>Purpose<\/strong> &mdash; There is limited evidence for the effectiveness of pay for performance despite its widespread use.&nbsp;The authors&nbsp;assessed whether the introduction of a pay-for-performance scheme for primary care physicians in Ontario, Canada, was associated with increased cancer screening rates and determined the amounts paid to physicians as part of the program. <\/p>n<p><strong>Methods<\/strong> &mdash; The authors performed a longitudinal analysis using administrative data to determine cancer screening rates and incentive costs in each fiscal year from 1999\/2000 to 2009\/2010. The authors used a segmented linear regression analysis to assess whether there was a step change or change in screening rate trends after incentives were introduced in 2006\/2007.&nbsp;The authors&nbsp;included all Ontarians eligible for cervical, breast, and colorectal cancer screening. <\/p>n<p><strong>Results<\/strong> &mdash; The authors&nbsp;found no significant step change in the screening rate for any of the 3 cancers the year after incentives were introduced. Colon cancer screening was increasing at a rate of 3.0% (95% CI, 2.3% to 3.7%) per year before the incentives were introduced and 4.7% (95% CI, 3.7% to 5.7%) per year after. The cervical and breast cancer screening rates did not change significantly from year to year before or after the incentives were introduced. Between 2006\/2007 and 2009\/2010, $28.3 million, $31.3 million, and $50.0 million were spent on financial incentives for cervical, breast, and colorectal cancer screening, respectively. <\/p>n<p><strong>Conclusions<\/strong> &mdash; The pay-for-performance scheme was associated with little or no improvement in screening rates despite substantial expenditure. Policy makers should consider other strategies for improving rates of cancer screening.<\/p>n<p><a href=\"http:\/\/www.annfammed.org\/content\/12\/4\/317.long\" title=\"External link opens\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{4F321D0E-F7F1-4C8D-B2FE-922AD8DE3C78}|{D130ADD9-0370-4BF6-9BBB-7379AF0263F0}|{5B386094-8417-4B93-9D08-2F46BC0458AB}|{4B70A93B-C410-4F93-B8D9-A4ED9ACBE666}\",\n  \"Related Products\": \"<h2>News release<\/h2>rn<h3><a href=\"~\/link.aspx?_id=3294BB4837E94D6D99B3CB631AD4186F&amp;_z=z\">Bonuses for doctors do little to improve cancer screening in Ontario<\/a><\/h3>rn<h2>ICES in the news<\/h2>rn<h3><a href=\"http:\/\/www.theglobeandmail.com\/news\/national\/bonuses-paid-to-mds-had-little-effect-on-cancer-screening-rates\/article19604108\/\" title=\"Link to Globe and Mail opens in a new browser window\" target=\"_blank\">Bonuses Ontario paid to MDs had little effect on 3 cancer screening rates<\/a><\/h3>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{D20A13C2-789B-4AEB-9C05-64AF13F2068E}|{F137150D-7BD5-4368-8FCC-FAF6D82891C4}|{2C81C93C-B401-432B-8741-83841744D4CA}\",\n  \"Posted Date\": \"20140714T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2014\/January\/Effect-of-payment-incentives-on-cancer-screening"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Effect of payment incentives on cancer screening in Ontario primary care<\/title>\n<meta name=\"description\" content=\"Purpose &#x2014; There is limited evidence for the effectiveness of pay for performance despite its widespread use.&#xa0;The authors&#xa0;assessed whether\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Effect of payment incentives on cancer screening in Ontario primary care\" \/>\n<meta property=\"og:description\" content=\"Purpose &#x2014; There is limited evidence for the effectiveness of pay for performance despite its widespread use.&#xa0;The authors&#xa0;assessed whether\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:37:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/effect-of-payment-incentives-on-cancer-screening-in-ontario-primary-care\\\/\",\"name\":\"ICES | Effect of payment incentives on cancer screening in Ontario primary care\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2014-07-14T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:37:24+00:00\",\"description\":\"Purpose &#x2014; 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