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Although the direct, measurable cost of malpractice premiums is small, the effect on physician behaviour is enormous.
The results strengthen the small but important literature on the effect of co-payment on physician behaviour.
The data was collected using a computer assisted personal interviewing (CAPI) program, supplemented by a self-completion paper and pencil questionnaire.E This "drop-off questionnaire" includes additional questions which address issues like physician behaviour or utilization of preventive health care.
Yet, policymakers continue to rely heavily on the financial dimension to change physician behaviour with QIP, as it is the case in France with the ROSP – the QIP that has replaced the CAPI.
Income is a further important contributing factor for physician behaviour.
Preferably, strategies should be investigated that have proved successful at altering physician behaviour in other settings.
These two settings gave the opportunity to observe physician behaviour within structurally different work conditions.
Nevertheless, physician behaviour is not necessarily strongly influenced by these recommendations [ 10].
A recent Cochrane Review has suggested that social marketing can change physician behaviour [ 20].
Alternative methods of assessing physician behaviour have been described previously [ 16- 18].
The Cochrane review included multiple measures, including process measures of physician behaviour and health outcomes.
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