<p>Objective : To evaluate the effect of the Provider and Patient
Reminders in Ontario: Multi-Strategy Prevention Tools (P-PROMPT) reminder and
recall system and pay-for-performance incentives on the delivery rates of
cervical and breast cancer screening in primary care practices in Ontario, with
or without deployment of nurse practitioners (NPs). </p>
<p>Design : Before-and-after comparisons of the time-appropriate
delivery rates of cervical and breast cancer screening using the automated and
NP–augmented strategies of the P-PROMPT reminder and recall system. </p>
<p>Setting : Southwestern Ontario. </p>
<p>Participants : A total of 232 physicians from 24 primary care
network or family health network groups across 110 different sites eligible for
pay-for-performance incentives. </p>
<p>Interventions : The P-PROMPT project combined
pay-for-performance incentives with provider and patient reminders and
deployment of NPs to enhance the delivery of preventive care services. </p>
<p>Main outcome measures : The mean delivery rates at the
practice level of time-appropriate mammograms and Papanicolaou tests completed
within the previous 30 months. </p>
<p>Results : Before-and-after comparisons of time-appropriate
delivery rates (<30 months) of cancer screening showed the rates of Pap tests and mammograms for eligible women significantly increased over a 1-year period by 6.3% (P ><
.001) and 5.3% (P < .001), respectively. The NP-augmented strategy achieved
comparable rate increases to the automated strategy alone in the delivery rates
of both services. </p>
<p>Conclusion : The use of provider and patient reminders and
pay-forperformance incentives resulted in increases in the uptake of Pap tests
and mammograms among eligible primary care patients over a 1-year period in
family practices in Ontario.</p>
Effect of provider and patient reminders, deployment of nurse practitioners, and financial incentives oncervical and breast cancer screening rates
