Jonathan Sicsic (Inserm – CESP) at the RITM seminar

For this week’s RITM seminar, we are hosting Jonathan Sicsic (Inserm – CESP). He will be presenting “Role of financial and non-financial incentives in improving cancer screening in general practice. A discrete choice experiment“. The RITM seminar will be on Thursday, February 18, in Imbert room, from 2 to 3.30 pm.
Abstract:
Cancer is a major health issue worldwide, and regular screening can significantly decrease the incidence and the mortality. Due to the organization of healthcare supply in most northern countries, general practitioners (GPs) have become key actors in the target provision of breast, cervical, and colorectal cancer screening. However, they may lack the proper incentives to engage in effective screening practices. Our aim in this study was to reveal GPs’ trade-offs between screening incentives that could be implemented and/or combined to favour their involvement in cancer screening activities. More particularly, we wanted to assess the variability in GPs’ preferences depending both on the cancer screening context (e.g. breast, cervical, and colorectal) and on GPs themselves. Five attributes were defined based on qualitative work, four of which were non-financial and the last was a pure financial incentive. GPs’ preferences were elicited using a discrete choice experiment (DCE). Four hundred representative GPs were recruited nationwide and completed 12 choice tasks, allowing estimation of some two-way interactions between attributes. Marginal rates of substitution were computed in order to compare between-cancer preferences, and preference heterogeneity was investigated through hierarchical bayes logit models. All proposed attributes had a positive and significant impact, but the magnitude was different according to the type of cancer: GPs exhibited higher preferences for additional information about recently screened patients and a compensated training in the context of breast and cervical cancer screening, but were more sensitive to additional remuneration for colorectal cancer screening. The study provides new findings for policymakers that are interested in prioritizing levers in order to improve the provision of cancer screening services in routine practice.
 
The program of the RITM Seminar is here.