Increasingly common insurance plans that encourage patients to receive care from physicians who keep medical costs lower are based on unreliable estimates of doctor performance and may not achieve the intended savings.
This study of the factors associated with clinician's intention to treat pain symptoms suggests that useful targets for improving pain management include bolstering clinicians? confidence in their own pain management skills and improving their trust in pain ratings.
Most Massachusetts physician groups are using results from a statewide patient survey to help improve patient experiences, but a significant number are not making use of the information or are making relatively limited efforts.
Although hospitals and managed care facilities have used performance measurement for some time, the focus on doctor profiling by purchasers and health plans is relatively new, bringing to the fore the limitations of available physician data and proving the need for reliability measures in physician profiling.
Adjunct Policy Researcher
Education Ph.D. in policy analysis, Pardee RAND Graduate School; M.P.P. in public policy, admininstration, and analysis, University of California, Berkeley; M.S. in biology, University of California, San Diego; B.S. in physiology and neuroscience, University of California, San Diego
Affiliated Adjunct Physician Policy Researcher
Education M.S. in health care policy and management, UCLA; M.D. in medicine, Yale University; B.A. in music performance, UCLA; Residency in emergency medicine, L.A. County + USC