Département de médecine de famille et de médecine d'urgence, Université de Montréal, CRCHUM, Hôtel-Dieu - Pavillon Vimont, local 3:230, 3840 St-Urbain, Montréal, QC H2W 1T8, Canada. janusz.kaczorowski@umontreal.ca
To evaluate the effect of the Provider and Patient Reminders in Ontario: Multi-Strategy Prevention Tools (P-PROMPT) reminder and recall system and pay-for-performance incentives on the delivery rates of cervical and breast cancer screening in primary care practices in Ontario, with or without deployment of nurse practitioners (NPs).
Before-and-after comparisons of the time-appropriate delivery rates of cervical and breast cancer screening using the automated and NP-augmented strategies of the P-PROMPT reminder and recall system.
Southwestern Ontario.
A total of 232 physicians from 24 primary care network or family health network groups across 110 different sites eligible for pay-for-performance incentives.
The P-PROMPT project combined pay-for-performance incentives with provider and patient reminders and deployment of NPs to enhance the delivery of preventive care services.
The mean delivery rates at the practice level of time-appropriate mammograms and Papanicolaou tests completed within the previous 30 months.
Before-and-after comparisons of time-appropriate delivery rates (