Failure of low-cost audits with feedback to reduce laboratory test utilization
Abstract
From the Section of General Internal Medicine, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio
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There is conflicting evidence regarding the role of peer-comparison in feedback.
“there is conflicting evidence regarding the role of peer‐comparison in feedback (Kiefe 2001; Søndergaard 2002; Wones 1987).”
From Audit and feedback: effects on professional practice and healthcare outcomes (2012) · cites this paper as Wones 1987
Wones 1987 found a small difference when adding peer comparison data to audit and feedback for inpatient laboratory test utilisation (adjusted change relative to baseline control = 5%).
“Søndergaard 2002 and Wones 1987 each found small differences when adding peer comparison data to the audit and feedback for asthma management (adjusted RD = 2%) or inpatient laboratory test utilisation (adjusted change relative to baseline control = 5%), respectively.”
From Audit and feedback: effects on professional practice and healthcare outcomes (2012) · cites this paper as Wones 1987
Cites
Eisenberg, J. M. (1981) · JAMA · doi:10.1001/jama.246.19.2195 · Cited by 239 · see citing works
Schroeder, S. A. (1984) · JAMA · doi:10.1001/jama.252.2.225 · Cited by 175 · see citing works
Does Cost Information Availability Reduce Physician Test Usage?
Cohen, D. I., Jones, P. K., Littenberg, B., & Neuhauser, D. B. (1982) · Medical Care · doi:10.1097/00005650-198203000-00005 · Cited by 105 · see citing works
A Review of Physician Cost-Containment Strategies for Laboratory Testing
Grossman, R. M. (1983) · Medical Care · doi:10.1097/00005650-198308000-00003 · Cited by 99 · see citing works
Marton, K. I. (1985) · Archives of Internal Medicine · doi:10.1001/archinte.1985.00360050060009 · Cited by 91 · see citing works
Physician Awareness of Economic Factors in Clinical Decision-Making
Nagurney, J. T., Braham, R. L., & Reader, G. G. (1979) · Medical Care · doi:10.1097/00005650-197907000-00003 · Cited by 35 · see citing works
Impact of a Cost-Containment Educational Program on Housestaff Ambulatory Clinic Charges
Applegate, W. B., Bennett, M. D., Chilton, L. A., et al. (1983) · Medical Care · doi:10.1097/00005650-198305000-00002 · Cited by 27 · see citing works
Surveillance Effects on Community Physician Test Ordering
Sherman, H. (1984) · Medical Care · doi:10.1097/00005650-198401000-00007 · Cited by 7 · see citing works
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Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485 · see citing works
Audit and feedback: effects on professional practice and health care outcomes
Jamtvedt, G., Young, J. M., Kristoffersen, D. T., O'Brien, M. A., & Oxman, A. D. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub2 · Cited by 912 · see citing works
Doran, D. M., & Sidani, S. (2007) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1741-6787.2007.00073.x · Cited by 84 · see citing works
- Authors
- Wones, R. G.
- Affiliations
- University of Cincinnati (US)
- Corresponding author
- Wones, Robert G.
- Venue
- Medical Care
- Published
- 1987-01
- Volume
- 25
- Issue
- 1
- Pages
- 78-82
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W2028610004
- Cited by
- 44
- References
- 8
- Citations by year
- 2025: 1 · 2019: 1 · 2018: 1 · 2016: 1 · 2014: 1 · 2012: 1
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Keywords
- laboratory test utilization, audit and feedback, inappropriate testing, quality improvement, health care utilization
- MeSH terms
- Computers, Cost Control, Feedback, Hospitals, University, Internal Medicine, Internship and Residency, Ohio, Random Allocation, Utilization Review, Clinical Laboratory Techniques
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