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Using Feedback to Change Primary Care Physician Behavior

Lu, Chen-Yuan Emily MD; Vinci, Lisa M. MD; Quinn, Michael T. PhD; Wilkes, Abigail E. MPH; Chin, Marshal H. MD, MPH; Peek, Monica E. MD, MPH

Journal of Ambulatory Care Management: April/June 2015 - Volume 38 - Issue 2 - p 118–124
doi: 10.1097/JAC.0000000000000055
Original Articles
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Recognizing the gap between high-quality care and the care actually provided, health care providers across the country are under increasing institutional and payer pressures to move toward more high-quality care. This pressure is often leveraged through data feedback on provider performance; however, feedback has been shown to have only a variable effect on provider behavior. This study examines the cognitive behavioral factors that influence providers to participate in feedback interventions, and how feedback interventions should be implemented to encourage more provider engagement and participation.

Pritzker School of Medicine (Dr Lu) and Department of Medicine (Drs Vinci, Quinn, Chin, and Peek and Ms Wilkes), University of Chicago, Chicago, Illinois.

Correspondence: Chen-Yuan Emily Lu, MD, UCSF Family & Community Medicine, 995 Potrero Avenue, Bldg 80, Ward 83, San Francisco, CA 94110 (chen-yuan.lu@ucsf.edu)

Ms Wilkes is currently a Senior Consultant with the Blue Cross Blue Shield Association, Chicago, Illinois.

Dr Lu is currently a Resident Physician in the Department of Family and Community Medicine at the University of California at San Francisco, San Francisco, California.

This research study was supported by the Merck Foundation Alliance to Reduce Disparities in Diabetes, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) R18 DK083946, and the Chicago Center for Diabetes Translation Research (NIDDK P30 DK092949). Dr Lu was also supported through the Scholarship and Discovery Program of the Pritzker School of Medicine (NIDDK T35 DK062719). Dr Chin was also supported by a NIDDK Midcareer Investigator Award in Patient-Oriented Research (K24 DK071933).

None of the authors report any conflicts of interest with this work.

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