Skip to main content
. 2021 Jan 20;2021(1):CD011865. doi: 10.1002/14651858.CD011865.pub2

Hickson 1987.

Study characteristics
Methods Randomised trial
Participants Primary care physicians (PCPs)
Interventions Continuity Clinic, USA
Intervention payment:FFS group received USD 2 per visit
Control payment: Salary group received USD 20 per month
Year 1983 to 1984, intervention happened in 1983
Outcomes Quantity of health services provided
Patients enrolled per PCP
Patient visits attended per PCP
Percentage visits attended by patient’s primary physician (continuity)
Emergency room visits
Scheduled visits
Completed visits
Sick, primary visits
Sick follow‐up visit
Well‐child visits
The number of recommended visits missed
The number of visits in excess of the recommended
Adverse effects
The number of well patients
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Paediatric residents were initially matched for year of training and the day of the week their clinics were held. Each pair was randomised by the flip of a coin.
Allocation concealment (selection bias) Low risk Patients are recruited by residents from the health unit or assigned by the secretary. No attempts were made by the faculty or clinic staff to adjust the size of these groups.
Baseline outcome measurements similar Unclear risk No comparison of outcome measurements was reported.
Baseline characteristics similar Low risk No significant PCP differences in time since graduation, gender, interest in continuity. No significant patient differences in salary group, mother's age, number of children at home, number of fathers in home.
Incomplete outcome data (attrition bias)
All outcomes Low risk No missing outcome data
Knowledge of the allocated interventions adequately prevented Low risk Outcomes are objective.
Study adequately protected against contamination Unclear risk No more information
Selective reporting (reporting bias) Low risk No reporting bias
Other bias Unclear risk No more information