Physician practice quality indicators from HEDIS (Healthcare Effectiveness Data and Information) cannot be used to establish a uniform quality measure across clinical domains, but they can be used to create a small set of composite measures.
A study investigating the decisionmaking process undertaken by physicians when prescribing treatment for Hepatitis C and the comparative influence and importance of specific factors and combinations of factors.
The VA is considering expanding the role of nurse practitioners in order to provide veterans timely access to primary care services. Research has shown that nurse practitioners working in collaborative settings can provide high-quality care.
Shifting health care from hospitals to the community will only be justified if patient satisfaction and convenience is valued above costs to the NHS, or if this shift reduces health care costs in the long term.
Clinicians are more likely to prescribe antibiotics inappropriately when they are feeling rushed, don't feel strongly that antibiotics are overused, and don't think patient demand for antibiotics is a problem in their practice.
Health system leaders should view regular and detailed assessment of physician professional satisfaction as an invaluable early warning system for potential threats to quality and safety. But simply surveying doctors on their overall levels of job satisfaction isn't enough.
Increasing the number of physicians who can prescribe buprenorphine for opioid abuse and supporting their ability to treat more patients may be the fastest approach to enhancing capacity for treatment, particularly in less populated counties.
This Perspective revisits an earlier critique of ProPublica's Surgeon Scorecard and explains in detail why ProPublica's subsequent rebuttal of our work fails to address our methodological concerns about the Surgeon Scorecard.
There is no tradeoff between recognizing the serious methodological problems in the ProPublica Surgeon Scorecard, improving the Scorecard, and encouraging providers to release their own data. All three can and should be done simultaneously.
ProPublica's Surgeon Scorecard displays "Adjusted Complication Rates" for named surgeons for eight surgical procedures performed in hospitals. This perspective critiques the methods of the Scorecard and identifies opportunities for improvement.