The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease.

@article{Hofer1999TheUO,
  title={The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease.},
  author={Timothy P Hofer and RodneyA. Hayward and Sue Greenfield and Edward H. Wagner and Sherrie H. Kaplan and Willard G. Manning},
  journal={JAMA},
  year={1999},
  volume={281 22},
  pages={
          2098-105
        }
}
CONTEXT Physician profiling is widely used by many health care systems, but little is known about the reliability of commonly used profiling systems. OBJECTIVES To determine the reliability of a set of physician performance measures for diabetes care, one of the most common conditions in medical practice, and to examine whether physicians could substantially improve their profiles by preferential patient selection. DESIGN AND SETTING Cohort study performed from 1990 to 1993 at 3… CONTINUE READING
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