Financial Incentives to Translate ALLHAT Into Practice: A Randomized Trial

Completed · Not applicable

Conditions studied: Hypertension

In brief

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.

Key facts

Study ID

NCT00302718

Run by

VA Office of Research and Development

People needed

83

Starts

2007-02-01

Expected to finish

2012-09-01

Last updated by the study team

2019-01-30

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• The study did not include VA physicians that were trainees.

Where it is running

• VA Medical Center, Birmingham — Birmingham, Alabama, United States
• VA Connecticut Health Care System (Newington) — Newington, Connecticut, United States
• VA Medical Center, Augusta — Augusta, Georgia, United States
• VA Medical Center, Jamaica Plain Campus — Boston, Massachusetts, United States
• John D. Dingell VA Medical Center, Detroit — Detroit, Michigan, United States
• Aleda E. Lutz VA Medical Center — Saginaw, Michigan, United States
• VA Medical Center, Minneapolis — Minneapolis, Minnesota, United States
• G.V. (Sonny) Montgomery VA Medical Center, Jackson — Jackson, Mississippi, United States
• VA Medical Center, Oklahoma City — Oklahoma City, Oklahoma, United States
• VA Medical Center, Providence — Providence, Rhode Island, United States
• Ralph H Johnson VA Medical Center, Charleston — Charleston, South Carolina, United States
• Michael E. DeBakey VA Medical Center, Houston, TX — Houston, Texas, United States

Full record on ClinicalTrials.gov

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