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This could induce an underestimation of P4P effectiveness in the general population of providers.
The study may also have been subject to self-selection bias, as participating physicians may differ in treatment patterns from the overall population of providers treating MBM patients.
However, some of the views expressed by providers related to norms of womanhood, such as the desire to bear a child, and may have been related to the largely female population of providers.
One unique aspect of the initial test of the IMAQ is the examination of discriminant validity, or the ability to differentiate between those who readily embrace more integrative approaches and those of a general population of providers.
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Figure 1 outlines the study population recruitment of providers and patients.
The RIO is based on community characteristics including travel time to different levels of care; community population; presence of providers, hospitals and ambulance services; social indicators; and weather conditions [ 17].
How the population of NYS providers is distributed across these categories is a question for future research.
It is important to emphasize that our data are not derived from a systematic random probability sample of the population of treatment providers in NYS and that the research neither aims at nor claims to provide findings that are statistically generalizable to that population.
Consequently, it is not possible to assess the generalizability of our results to the whole population of healthcare providers of the health region.
These differences may be due to factors that depend on characteristics of the population, of health providers or of both [ 36].
While this type of option may allow access to individual physician level data, the sample will represent an even smaller fraction of the population of medical providers from across the United States than the PIAA sample.
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