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Federal Reserve Bank of Atlanta
FRB Atlanta Working Paper
The influence of year-end bonuses on colorectal cancer screening
Brian S. Armour
Carol Friedman
M. Melinda Pitts
Jennifer Wike
Linda Alley
Jeff Etchason
Abstract

The objective of the paper is to estimate the effect of physician bonus eligibility on CRC screening while controlling for patient and primary care physician characteristics. The study is retrospective, using a managed care plan’s claims data on fifty-year-old commercially insured patients in the years 2000 and 2001. The data also include links to enrollment and provider files. Multivariate logistic regression models are used to assess the association between CRC screening receipt and physician bonus eligibility. The results indicate that the probability that a patient received a CRC screening was approximately 3 percentage points higher in the year physicians were eligible for a bonus. There were also significant differences according to the gender of both the patient and physician, income, and race.


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Brian S. Armour & Carol Friedman & M. Melinda Pitts & Jennifer Wike & Linda Alley & Jeff Etchason, The influence of year-end bonuses on colorectal cancer screening, Federal Reserve Bank of Atlanta, FRB Atlanta Working Paper 2003-41, 2003.
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