Use of Performance Data to Change Physician Behavior

Published in: JAMA, The Journal of the American Medical Association, v. 284, no. 9, Sep. 6, 2000, p. 1079

Posted on on January 01, 2000

by Martin Marshall, Paul G. Shekelle, Robert H. Brook, Sheila Leatherman

Read More

Access further information on this document at

This article was published outside of RAND. The full text of the article can be found at the link above.

Letter to the Editor commenting on an article that assessed the impact of performance data on clinical behavior and outcomes. Physicians skepticism regarding performance data arises from concerns related to intent, accuracy, physician attribution, and relevance. As a result, the first reaction on the part of many clinicians is to challenge the accuracy of performance data.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.