\n\nDesign Self-administered fax-back surveys completed before and after participation in the P-PROMPT project.\n\nSetting Southwestern Ontario.\n\nParticipants A total of 246 physicians from 24 primary https://www.selleckchem.com/products/gsk2879552-2hcl.html care network or family health network practices across 110 different sites.\n\nInterventions The P-PROMPT project provided several tools and services, including physician and patient reminders, office management tools, and administrative database integration.\n\nMain outcome measures Physicians’ views about the delivery of preventive health
services and pay-for-performance incentives before and after participation in the P-PROMPT project.\n\nResults The preintervention survey was completed by 86.2% (212 of 246) of physicians and the postintervention survey was completed by 53.3% (131 of 246) of physicians; 46.7% (114 of 246) of the physicians completed both surveys. Overall, 80.5% of physicians indicated that the P-PROMPT project was useful (scores of 5 or higher PF-6463922 on a 7-point Likert scale). Patient reminder letters (89.1%), physician approval lists of eligible patients (75.6%), administrative assistance with management fees (79.8%), and annual bonus calculations (75.2%) were rated as the most useful features of the program. Compared with the
preintervention survey, there were statistically significant increases in the mean agreement scores that the established target levels and bonuses provided appropriate financial incentive to substantially increase the uptake of mammography (P = .012) and Papanicolaou tests (P = .003) but not to increase uptake of annual influenza vaccination or childhood immunizations. There were statistically significant changes
in the mean ratings of relying on an opportunistic approach Transmembrane Transporters inhibitor (P < .001), increased agreement about the effectiveness of the current approach to delivery of preventive care (P < .001), and increased use of preventive management fees to recall patients (P < .001).\n\nConclusion The preventive care management program and P-PROMPT were viewed favourably by most respondents and were perceived to be useful in improving delivery of preventive health care services.”
“The aim of this study was to compare diffusion-weighted magnetic resonance imaging (DWI) and multidetector-row computed tomography (MDCT) for detection of primary pancreatic cancer by reviewing images of patients at high risk for pancreatic cancer with main pancreatic duct (MPD) dilatation shown by magnetic resonance cholangiopancreatography (MRCP).\n\nFrom October 2007 to September 2009, 83 patients who had undergone both DWI and MDCT with MPD dilatation were identified and were reviewed by four readers (2 radiologists and 2 gastroenterology fellows).