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Cancer > Cancer Screening > Provider Incentives Provider-oriented Cancer Screening Interventions: Provider Incentives
On behalf of the Task Force on Community Preventive Services, a team of subject matter specialists and other scientists conducted a systematic review of published studies evaluating the effectiveness of provider incentives in increasing screening for breast, cervical and colorectal cancer.
The Task Force concluded there was insufficient evidence to determine the effectiveness of provider incentives in increasing screening rates for breast, cervical and colorectal cancer.
- Provider incentives are direct or indirect rewards that motivate providers to perform or to refer their patients for cancer screening
- Rewards are usually monetary, but may also include non-monetary incentives, such as continuing medical education credit
- Provider incentives often depend on some form of assessment, therefore an assessment component, with or without feedback, may be included in the intervention.
Findings from the Systematic Review
- Three studies evaluated the effectiveness of provider incentives to increase screening for breast, cervical, or colorectal cancer (or some combination of the three).
Prior to and during the literature review and data analysis, the review team and the Task Force on Community Preventive Services attempt to address the key questions of what interventions work, for whom, under what conditions, and at what cost. Lack of sufficient information often leaves one or more of these questions unanswered. The Community Guide refers to these as “research gaps". Research gaps are pulled together in the form of a basic set of questions to inform a research agenda for those in the field. Each completed Community Guide review includes a section on research gaps (or issues) and this is included in final evidence review publications.
Cancer is a major public health problem in the United States. For more information on the scope of this problem, visit
Background on Screening for Breast, Cervical and Colorectal Cancers.
Evidence Review:
Sabatino SA, Habarta N, Baron RC. Interventions to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers: systematic reviews of provider assessment and feedback and provider incentives. Am J Prev Med 2008;35(1S):67-74.
Recommendations:
Task Force on Community Preventive Services. Recommendations for client- and provider-directed interventions to increase breast, cervical, and colorectal cancer screening Am J Prev Med 2008;35(1S):21-5.
The findings and conclusions in this report are those of the authors and the Task Force on Community Preventive Services and do not necessarily represent the official position of the CDC.
The content of publications of the Guide to Community Preventive Services is in the public domain. Citation as to source, however, is appreciated. Sample citation: Guide to Community Preventive Services. Provider-oriented cancer screening interventions: provider incentives.
www.thecommunityguide.org/cancer/screening/provider-incentives.htm.
Last Updated: MM/DD/YYYY.
Review completed: July 2008
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