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 |
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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 |
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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 |