Criticisms of Physician Performance Measurement and Reporting
(9). Marshall, Martin S, et al. “The Public Release of Performance Data: What Do We Expect to Gain? A Review of the Evidence.” JAMA.2000;283:1866-1874. http://jama.ama-assn.org/cgi/content/abstract/283/14/1866.
- Stakeholders still question the value and credibility of public reporting. This study discusses how purchasers and consumers do not understand public reporting components, although it is beginning to impact their decision-making. Similarly, physicians are skeptical about the validity of public reporting. Although there are benefits of publicly reporting performance information, it should be done in a clear and helpful manner—more research is required in this area.
- Peer-reviewed, Meta analysis
- Keywords: performance data; public reporting; physician performance
(10). Casalino, Lawrence P, et al. “General Internists’ Views On Pay-For-Performance And Public Reporting Of Quality Scores: A National Survey.” Health Affairs.2007.26(2):492-499. http://content.healthaffairs.org/cgi/content/abstract/26/2/492.
- Purchasers have promoted the concepts of measurement and reporting over the past twenty years, but physicians have not always been proponents of these concepts. This study discusses a recent survey of general internists about incentives and public reporting. Physicians support the concept of financial incentives for quality performance, but they do not necessarily support the concept of public reporting due to risk-selection and skewed measurement priorities.
- Keywords: pay-for-performance; public reporting; quality scores; performance measurement; measurement and reporting; purchasers
(11). Narins, Craig R, et al. “The Influence of Public Reporting of Outcome Data on Medical Decision Making by Physicians.” Arch Intern Med.2005;165:83-87. http://archinte.ama-assn.org/cgi/content/abstract/165/1/83.
- Although public reporting has become increasingly popular in recent years, physicians may not fully understand the reported data. To better gauge how public reporting may influence physician behavior, this report discusses the results from a physician questionnaire in New York. The study found that many physicians are more reluctant to perform certain procedures on critically ill patients in part due to the public reporting of mortality rates. Reports that include physician performance information should consider this in advance.
- Keywords: public reporting; physician measurement; performance measurement; performance data
(12). Scholle, Sarah Hudson, et al. “Benchmarking Physician Performance: Reliability of Individual and Composite Measures.” American Journal of Managed Care. 2008;14(12):829-838. http://www.ajmc.com/media/pdf/AJMC_08decScholle_829to838.pdf.
- This study addresses the reliability of individual quality measures to assess the performance of physicians using health plan administrative data. Some measures had higher reliability estimates compared to others, which should be considered in public reporting purposes.
- Keywords: quality measures; physician performance; administrative data; public reporting
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