Variations by Specialty in Physician Ratings of the Appropriateness and Necessity of Indications for Procedures

Medical Care

Volumn 34, Issue 6, 1996, Pages 512-523

  Kahan, James P ^a   Park, Rolla Edward ^a   Leape, Lucian L ^b   Bernstein, Steven J ^c   Hilborne, Lee H ^a   Parker, Lori ^a   Kamberg, Caren J ^a   Ballard, David J ^d   Brook, Robert H ^a,e  

^a RAND CORPORATION   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^c UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

^d EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Appropriateness; Expert panels; Group dynamics; Physician specialty

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ANGIOCARDIOGRAPHY; ARTICLE; CAROTID ENDARTERECTOMY; CATARACT EXTRACTION; CLINICAL PRACTICE; COMPARATIVE STUDY; CORONARY ARTERY BYPASS GRAFT; GENERAL PRACTITIONER; HEALTH SERVICE; HEALTH SERVICES RESEARCH; HUMAN; MEDICINE; PATIENT SELECTION; PEER REVIEW; STANDARD; STATISTICS; SURGERY; TRANSLUMINAL CORONARY ANGIOPLASTY; TREATMENT OUTCOME; UNITED STATES; UTILIZATION REVIEW;

ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY; AORTIC ANEURYSM, ABDOMINAL; CATARACT EXTRACTION; CORONARY ANGIOGRAPHY; CORONARY ARTERY BYPASS; ENDARTERECTOMY, CAROTID; HEALTH SERVICES NEEDS AND DEMAND; HEALTH SERVICES RESEARCH; HUMANS; PATIENT SELECTION; PEER REVIEW, HEALTH CARE; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, FAMILY; SPECIALTIES, MEDICAL; SURGICAL PROCEDURES, OPERATIVE; TREATMENT OUTCOME; UNITED STATES;

EID: 0030160698     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199606000-00002     Document Type: Article

References (28)

1. Brook RH, Chassin MR, Fink A, et al. A method for the detailed assessment of the appropriateness of medical technologies. Int J Technol Assess Health Care 1986;2:53.
2. Kahan JP, Bernstein SJ, Leape LL, et al. Measuring the necessity of medical procedures. Med Care 1994;32:357.
3. Park RE, Fink A, Brook RH, et al. Physician ratings of appropriate indications for six medical and surgical procedures. Am J Public Health 1986;76:766.
4. Scott EA, Black N. When does consensus exist in expert panels? J Public Health Med 1991;13:35.
5. Leape LL, Park RE, Kahan JP, et al. Group judgments of appropriateness: The effect of panel composition. Qual Assur Health Care 1992;4:151.
6. Fraser GM, Pilpel D, Kosecoff J, et al. Effect of panel composition on appropriateness ratings. Int J for Qual in Health Care 1994;6:251.
7. Ballard DJ, Etchason JA, Hilborne LH, et al. Abdominal aortic aneurysm surgery: A literature review and ratings of appropriateness and necessity. Santa Monica, CA: RAND, 1992. RAND/AMCC Report JRA-04.
8. Matchar DB, Goldstein LB, McCrory DC, et al. Carotid endarterectomy: A literature review and ratings of appropriateness and necessity. Santa Monica, CA: RAND, 1992. RAND/AMCC Report JRA-05.
9. Lee PP, Kamberg CJ, Hilborne LH, et al. Cataract surgery: A review of the literature regarding efficacy and risks. Santa Monica, CA: RAND, 1993. RAND/AMCC Report JRA-06.
10. Bernstein SJ, Laouri M, Hilborne LH, et al. Coronary angiography: A literature review and ratings of appropriateness and necessity. Santa Monica, CA: RAND, 1992. Report JRA-03.
11. Leape LL, Hilborne LH, Kahan JP, et al. Coronary artery bypass graft: A literature review and ratings of appropriateness and necessity. Santa Monica, CA: RAND, 1992. RAND/AMCC, Report JRA-02.
12. Hilborne LH, Leape LL, Kahan JP, et al. Percutaneous transluminal coronary angioplasty: A literature review and ratings of appropriateness and necessity. Santa Monica, CA: RAND, 1992. Report JRA-01.
13. Leape LL, Hilborne LH, Park RE, et al. The appropriateness of use of coronary artery bypass graft surgery in New York State. JAMA 1993;269:753.
14. Hilborne LH, Leape LL, Bernstein SJ, et al. The appropriateness of use of percutaneous transluminal coronary angioplasty in New York State. JAMA 1993;269:761.
15. Bernstein SJ, Hilborne LH, Leape LL, et al. The appropriateness of use of coronary angiography in New York State. JAMA 1993;269:766.
16. Stata Corporation. Stata reference manual. Release 3.1. 6th ed. College Station, TX: Stata Corporation, 1993.
17. McIver JP, Carmines EG. Unidimensional scaling. Beverly Hills, CA: Sage University, 1981. Paper 24.
18. Hollier LH, Taylor LM, Ochsner J. Recommended indications for operative treatment of abdominal aortic aneurysms. J Vasc Surg 1992;15:1046.
19. Burns LR, Wholey DR. The impact of physician characteristics in conditional choice models for hospital care. J Health Econ 1992;11:43.
20. Strumwasser I, Paranjpe NV, Ronis DL, et al. Reliability and validity of utilization review criteria. Med Care 1990;28:95.
21. Conry CM, Pace WD, Main DS. Practice style differences between family physicians and internists. J Am Board Fam Pract 1991;4:399.
22. Bertakis KD, Helms LJ, Callahan EJ, et al. The influence of gender on physician practice style. Med Care 1995;33:407.
23. McKee M, Priest P, Ginzler M, et al. How representative are members of expert panels? Qual Assur in Health Care 1991;3:89.
24. Janis I. Victims of groupthink. Boston, MA: Houghton Mifflin, 1972.
25. Kroon MBR, Van Kreveld D, Rabbie JM. Group versus individual decision making. Small Group Research 1992;23:427.
26. Kahan JP, Morton SQ, Farris HH, et al. Panel processes for revising a relative value of physician work: A pilot study. Med Care 1994;32:1069.
27. Ballard DJ. Abdominal aortic aneurysm. N Engl J Med 1993;329:1275.
28. Brook RH, Lohr KL. Efficacy, effectiveness, variations, and quality. Med Care 1990;5:710.