The unreliability of individual physician 'report cards' for assessing the costs and quality of care of a chronic disease

JAMA

Volumn 281, Issue 22, 1999, Pages 2098-2105

  Hofer, Timothy P ^a,e   Hayward, Rodney A ^a   Greenfield, Sheldon ^b   Wagner, Edward H ^c   Kaplan, Sherrie H ^b   Manning, Willard G ^d  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b TUFTS MEDICAL CENTER   (United States)

^c CENTER FOR HEALTH STUDIES   (United States)

^d UNIVERSITY OF CHICAGO   (United States)

^e Ann Arbor VA HSR and D Center of Excellence   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CHRONIC DISEASE; DIABETES MELLITUS; FEMALE; GEOGRAPHIC DISTRIBUTION; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH MAINTENANCE ORGANIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; PATIENT COMPLIANCE; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; RELIABILITY;

EID: 0033538266     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.281.22.2098     Document Type: Article

References (38)

1. Kerr EA, Mittman BS, Hays RD, Siu AL, Leake B, Brook RH. Managed care and capitation in California: how do physicians at financial risk control their own utilization? Ann Intern Med. 1995;123:500-504.
2. Wennberg DE. Variation in the delivery of health care: the stakes are high [editorial]. Ann Intern Med. 1998;128:866-868.
3. Spoeri RK, Ullman R. Measuring and reporting managed care performance: lessons learned and new initiatives. Ann Intern Med. 1997;127(8 pt 2):726-732.
4. Kassirer JP. The use and abuse of practice profiles. N Engl J Med. 1994;330:634-636.
5. Corrigan JM, Nielsen DM. Toward the development of uniform reporting standards for managed care organizations: the Health Plan Employer Data and Information Set (Version 2.0). Jt Comm J Qual Improv. 1993;19:566-575.
6. Liner RS. Physician deselection: the dynamics of a new threat to the physician-patient relationship. Am J Law Med. 1997;23:511-537.
7. Welch HG, Miller ME, Welch WP. Physician profiling: an analysis of inpatient practice patterns in Florida and Oregon. N Engl J Med. 1994;330:607-612.
8. Blum JD. The evolution of physician credentialing into managed care selective contracting. Am J Law Med. 1996;22:173-203.
9. Gauging quality regulation's impact on premium costs. Med Health. 1997;51:1.
10. Green J, Wintfeld N. Report cards on cardiac surgeons: assessing New York State's approach. N Engl J Med. 1995;332:1229-1232.
11. Greenfield S, Kaplan SH, Silliman RA, et al. The uses of outcomes research for medical effectiveness, quality of care, and reimbursement in type II diabetes. Diabetes Care. 1994;17(suppl 1):32-39.
12. Hayward RA, Manning WG, Kaplan SH, Wagner EH, Greenfield S. Starting insulin therapy in patients with type 2 diabetes: effectiveness, complications, and resource utilization. JAMA. 1997;278:1663-1669.
13. McMahon LF Jr, Creighton FA, Bernard AM, Pittinger WB, Kelley WN. The integrated inpatient management model: a new approach to clinical practice . Ann Intern Med. 1989;111:318-326.
14. Greenfield S, Sullivan L, Dukes KA, Silliman R, D'Agostino R, Kaplan SH. Development and testing of a new measure of case mix for use in office practice. Med Care. 1995;33(suppl 4):AS47-AS55.
15. Feinglass J, Martin GJ, Sen A. The financial effect of physician practice style on hospital resource use. Health Serv Res. 1991;26:183-205.
16. Goldstein H. Multilevel Statistical Models. 2nd ed. New York, NY: Halstead Press; 1995.
17. McCullagh P, Nelder JA. Generalized Linear Models. 2nd ed. New York, NY: Chapman & Hall; 1989.
18. Stein C. Inadmissibility of the usual estimator for the mean of a multivariate normal distribution. Proceedings of the 3rd Berkeley Symposium Mathematics, Statistics, and Probability. Vol 1. Berkeley: University of California Press; 1956:137.
19. James W, Stein C. Estimation with quadratic loss. Proceedings of the 4th Berkeley Symposium of Mathematics, Statistics, and Probability. Vol 1. Berkeley, Calif: University of California Press; 1961:361.
20. O'hagan A. Bayesian inference. In: Green PJ, Little RJ, Ord JK, Scott AJ, Weisberg S, eds. Kendall's Advanced Theory of Statistics. Vol 2B. New York, NY: Halstead Press; 1994.
21. Gelman A, Carlin JB, Stern HS, Rubin DB. Bayesian Data Analysis. New York, NY: Chapman & Hall; 1995.
22. Gleason JR. sg65: computing intraclass correlations and large ANOVAs. In: Newton HJ, ed. The Stata Technical Bulletin Reprints. Vol 6. College Station, Tex: Stata Corp; 1996:167-176.
23. Carmines EG, Zeller RA. Reliability and validity assessment. In: Lewis-Beck MS, ed. Sage University Paper Series on Quantitative Applications in the Social Sciences. Newbury Park, Calif: Sage Publications; 1979. Series no. 07-001.
24. Bravo G, Potvin L. Estimating the reliability of continuous measures with Cronbach's alpha or the intraclass correlation coefficient: toward the integration of two traditions. J Clin Epidemiol. 1991;44:381-390.
25. McDowell J, Newell C. Measuring Health: A Guide to Rating Scales and Questionnaires. 2nd ed. New York, NY: Oxford University Press; 1996.
26. Stata Statistical Software [computer program]. Release 5.0. College Station, Tex: State Corp; 1997.
27. MLwiN [computer program). Release 1.02.002. London, England: Multilevel Models Project, Institute of Education; 1998.
28. Vijan S, Stevens DL, Herman WH, Funnell MM, Standiford CJ. Screening, prevention, counseling, and treatment for the complications of type II diabetes mellitus: putting evidence into practice. J Gen Intern Med. 1997;12:567-580.
29. Mant J, Hicks N. Detecting differences in quality of care: the sensitivity of measures of process and outcome in treating acute myocardial infarction. BMJ. 1995;311:793-796.
30. Hayward RA, Manning WG, Mcmahon LF, Bernard AM. Do attending or resident physician practice styles account for variations inhospital resource use. Med Care. 1994;32:788-794.
31. Kuczynski YT, Stanley JC, Rosevear JS, McMahon LF Jr. Vascular surgeons' resource use at a university hospital related to diagnostic-related group and source of admission. J Vasc Surg. 1997;26:193-198.
32. Miller ME, Hui SL. Tiemey WM, McDonald CJ. Estimating physician costliness: an empirical Bayes approach. Med Care. 1993;31(suppl 5):YS16-YS28.
33. Orav EJ, Wright EA, Palmer RH, Hargraves JL. Issues of variability and bias affecting multisite measurement of quality of care. Med Care. 1996;34 (suppl 9):SS87-SS101.
34. Newhouse JP, Manning WG, Keeler EB, Sloss EM. Adjusting capitation rates using objective health measures and prior utilization. Health Care Financing Rev. 1989;10:41-54.
35. Porell FW, Turner WM. Biased selection under an experimental enrollment and marketing Medicare HMO broker. Med Care. 1990;28:604-615.
36. Lichtenstein R, Thomas JW, Watkins B, et al. HMO marketing and selection bias: are TEFRA HMOs skimming? Med Care. 1992;30:329-346.
37. Hellinger FJ. Selection bias in HMOs and PPOs: a review of the evidence. Inquiry. 1995;32:135-142.
38. Newhouse JP. Patients at risk: health reform and risk adjustment. Health Aff (Millwood). 1994;13: 132-146.