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Related Experiment Video

Updated: Feb 3, 2026

A Vibrotactile Feedback Device for Seated Balance Assessment and Training

A Vibrotactile Feedback Device for Seated Balance Assessment and Training

Published on: January 20, 2019

Primary care physician resource use changes associated with feedback reports.

Eva Chang¹, Diana S M Buist, Matt Handley

¹RTI International, 307 Waverly Oaks Rd, Ste 101, Waltham, MA 02452.

The American Journal of Managed Care

|October 17, 2018

Summary

This summary is machine-generated.

Physician feedback reports influenced resource use, with ordering for high-end imaging decreasing. Younger physicians showed greater responsiveness to these reports, indicating potential for targeted interventions in healthcare resource management.

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Area of Science:

Health Services Research
Physician Behavior Analysis
Healthcare Resource Utilization

Background:

Primary care physician (PCP) resource utilization varies significantly.
Physician feedback reports comparing individual ordering rates to peers are a potential intervention to moderate resource use.
Understanding factors influencing physician response to feedback is crucial for optimizing healthcare spending.

Purpose of the Study:

To evaluate changes in PCP ordering rates for key resource use measures before and after receiving peer-comparison feedback reports.
To investigate the association between physician practice characteristics and resource use changes.

Main Methods:

A pre-post implementation study design was employed within an integrated healthcare system from 2011 to 2014.
Physician ordering data for 210 PCPs were analyzed monthly, comparing periods before and after feedback dissemination.
Four resource use measures (specialty referrals, high-end imaging, lab tests, prescriptions) were examined per 1000 patients, adjusted for patient demographics and complexity.

Main Results:

Monthly PCP ordering rates for high-end imaging significantly decreased by 0.8 per 1000 patients post-feedback (P <.01).
Conversely, orders for laboratory tests and 30-day prescriptions significantly increased by 15.0 and 84.7 per 1000 patients, respectively (P <.01).
Physicians with fewer years of experience (≤10 years) demonstrated greater changes, including fewer specialty referrals and more prescriptions, compared to more experienced physicians.

Conclusions:

Physician feedback reports appear associated with measurable changes in healthcare resource utilization.
Physicians with less experience may be more receptive to feedback, suggesting a potential target for intervention.
Further research is needed to understand factors influencing physician resource use changes for targeted intervention development.