Mode
Text Size
Log in / Sign up
N/A Completed N=83 Randomized Health Services Research

Financial Incentives to Translate ALLHAT Into Practice: A Randomized Trial

Source: ClinicalTrials.gov NCT00302718 ↗
Enrolled (actual)
83
Serious AEs
0.0%
Results posted
Dec 2014
Primary outcomePrimary: Proportion of the Physicians' Patients With Blood Pressure Control or Appropriate Response to Uncontrolled Blood Pressure — 75; 80; 79; 86 percentage of physicians' patients

Summary

The purpose of this study was to determine whether financial incentives for guideline-recommended treatment of hypertension are effective. We hypothesized that patients with hypertension cared for by physicians or practice groups receiving financial incentives were more likely to be prescribed guideline-recommended anti-hypertensive medications and achieve Joint National Commission (JNC) 7 guideline-recommended blood pressure goals compared to patients who were treated by providers that did not receive financial incentives.

Outcome Measures

OutcomeResultp-value
PRIMARY
Proportion of the Physicians' Patients With Blood Pressure Control or Appropriate Response to Uncontrolled Blood Pressure
75; 80; 79; 86 —
PRIMARY
Proportion of Physicians' Patients With Blood Pressure Control or Appropriate Response to Uncontrolled Blood Pressure
83; 82; 83; 87 —
PRIMARY
Proportion of Physicians' Patients Prescribed Guideline-recommended Antihypertensive Medications
66; 65; 73; 71 —
SECONDARY
Colorectal Cancer (CRC) Screening
80.43; 80.22; 72.28; 85.41 <.0001 sig
SECONDARY
Low-density Lipoprotein (LDL) Cholesterol Levels
75.30; 70.37; 69.55; 74.12 0.2114
SECONDARY
Hemoglobin (Hb) A1c Levels
89.05; 91.77; 90.94; 91.49 0.6954
SECONDARY
Beta Blocker Use
70.51; 71.01; 69.50; 70.12 0.9895

Eligibility Criteria

Inclusion Criteria

Study participants had to be full-time primary care physicians employed by the Veterans Health Administration (VA) at one of the 12 VA hospitals that participated in the study.

We defined a full-time primary care physician as spending at least 0.60 full-time equivalent (FTE) delivering patient care services in the primary care setting or having a panel size of at least 500 patients at the time of study arm randomization. The primary care settings included internal medicine, primary care medical clinics, and women's health care clinics. The trial did not actively recruit patients into the study. This study retrospectively reviewed a random sample of health records of eligible patients that had clinical encounters with the physician participants.

Exclusion Criteria

The study did not include VA physicians that were trainees.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00302718). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

Back to search