Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Improving physician performance through peer comparison feedback.

R N Winickoff, K L Coltin, M M Morgan

    Medical Care
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    The Harvard-MIT-NEMC Research Training Program in Medical Informatics.

    Yearbook of medical informatics·2016
    Same author

    Letters.

    The Physician and sportsmedicine·2016
    Same author

    Change in functional selectivity of morphine with the development of antinociceptive tolerance.

    British journal of pharmacology·2014
    Same author

    Distribution of CB1 cannabinoid receptors and their relationship with mu-opioid receptors in the rat periaqueductal gray.

    Neuroscience·2012
    Same author

    Opioid receptor internalization contributes to dermorphin-mediated antinociception.

    Neuroscience·2010
    Same author

    Morphine preferentially activates the periaqueductal gray-rostral ventromedial medullary pathway in the male rat: a potential mechanism for sex differences in antinociception.

    Neuroscience·2007
    Same journal

    Hepatitis C Virus Cascade of Care in Florida Emergency Departments.

    Medical care·2026
    Same journal

    Association of Neighborhood Socioeconomic Disadvantage and Uptake of Diabetes Prevention Interventions.

    Medical care·2026
    Same journal

    Machine Learning for Evaluating the Heterogeneous Effects of Intensive In-Hospital Rehabilitation During the Postacute Phase After Hip Fracture Surgery on Activities of Daily Living.

    Medical care·2026
    Same journal

    Hospital-Physician Integration and Differences in the Use of Orthopedic Care Across Race and Ethnicity.

    Medical care·2026
    Same journal

    Temporal Misalignment and Selection Bias in "Burn Pit Smoke Exposure and Sleep Apnea in US Veterans.

    Medical care·2026
    Same journal

    The Impact of an Oncology Hospital at Home Program on Health Care Costs.

    Medical care·2026
    See all related articles

    Peer comparison feedback significantly improved physician adherence to colorectal cancer screening guidelines. This quality improvement project demonstrated sustained behavior change in ambulatory care settings.

    Area of Science:

    • Ambulatory care quality assurance
    • Colorectal cancer screening
    • Physician performance improvement

    Background:

    • Colorectal cancer screening is crucial for early detection and improved patient outcomes.
    • Establishing and monitoring physician adherence to screening standards is a key component of quality assurance.
    • Previous interventions like educational meetings and group feedback showed limited success in improving compliance.

    Purpose of the Study:

    • To evaluate the effectiveness of different intervention strategies in enhancing physician compliance with colorectal cancer screening standards.
    • To assess the impact of individual performance feedback compared to peers on screening rates.
    • To determine the long-term sustainability of behavior changes in physician screening practices.

    Main Methods:

    Related Experiment Videos

    • A 3.5-year quality improvement project in an ambulatory setting.
    • Sequential implementation of educational meetings, group compliance feedback, and individual peer comparison feedback.
    • A randomized clinical trial with a crossover design was used for the individual feedback intervention.
    • Pretest/posttest and crossover designs were employed to evaluate intervention effectiveness.

    Main Results:

    • Educational meetings and group feedback did not significantly improve compliance rates.
    • Monthly individual performance feedback compared to peers led to a significant increase in screening compliance (from 66.0% to 79.9% in the intervention group).
    • A spillover effect was observed, with the control group also showing improvement when they received feedback.
    • Behavioral changes persisted at 6 and 12 months post-intervention.

    Conclusions:

    • Individual performance feedback, particularly when compared to peers, is an effective strategy for improving physician adherence to colorectal cancer screening guidelines.
    • Quality assurance programs can leverage peer comparison to drive significant and sustained improvements in clinical practice.
    • Sustained improvements in cancer screening rates are achievable through targeted, data-driven feedback mechanisms in ambulatory care.