Specialists versus generalists in the era of pay for performance: "A plague o' both your houses!"

Quality and Safety in Health Care

Volumn 16, Issue 1, 2007, Pages 3-5

  Aron, David ^a,c   Pogach, Leonard ^b  

^a CASE WESTERN RESERVE UNIVERSITY   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c LOUIS STOKES CLEVELAND VA MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTITHROMBOCYTIC AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; GLUCOSE; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR;

CLINICAL PRACTICE; DIABETES MELLITUS; GENERAL PRACTITIONER; GLUCOSE BLOOD LEVEL; HEALTH CARE QUALITY; HUMAN; JOB PERFORMANCE; MEDICAL SPECIALIST; MORBIDITY; MORTALITY; NOTE; OUTPATIENT CARE; PRESCRIPTION;

DIABETES MELLITUS, TYPE 1; DIABETES MELLITUS, TYPE 2; FAMILY PRACTICE; GREAT BRITAIN; HUMANS; PATIENT CARE TEAM; PHYSICIAN'S PRACTICE PATTERNS; PROCESS ASSESSMENT (HEALTH CARE); PROGNOSIS; SPECIALTIES, MEDICAL; TREATMENT OUTCOME; UNITED STATES;

EID: 33847410060     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2006.021006     Document Type: Note

References (25)

1. Greenfield S, Kaplan SH, Kahn R, et al. Profiling care provided by different groups of physicians: effects of patient case-mix (bias) and physician-level clustering on quality assessment results. Ann Intern Med 2002;136:111-21.
2. Greenfield S. Defining and understanding "co-management" care. Diabetes Care 2002;25:1657-8.
3. McAlister FA, Majumdar SR, Eurich DT, et al. The effect of specialist care within the first year on subsequent outcomes in 24 232 adults with new-onset diabetes mellitus: population-based cohort study. Qual Saf Health Care 2007;16:6-11.
4. Selim AJ, Kazis LE, Rogers W, et al. Risk-adjusted mortality as an indicator of outcomes: comparison of the Medicare Advantage Program with the Veterans' Health Administration. Med Care 2006;44:359-65.
5. Heart Outcomes Prevention Evaluation Study Investigators. Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE substudy. Lancet 2000;355:253-9.
6. Collins R, Armitage J, Parish S, et al. MRC/BHF Heart Protection Study of cholesterol-lowering with simvostatin in 5963 people with diabetes: a randomised placebo-controlled trial. Lancet 2003;361:2005-16.
7. Hansson L, Zanchetti A, Carruthers SG, et al. Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the Hypertension Optimal Treatment (HOT) randomised trial. HOT Study Group. Lancet 1998;351:1755-62.
8. The National Quality Forum. Available at http://www.qualityforum. org (accessed October 2006).
9. Ambulatory Care Quality Alliance. Available at http://www.acponline.org/revitalization/starter_set.pdf (accessed October 2006).
10. National Diabetes Quality Improvement Alliance Available at http://www.nationaldiabetesalliance.org/ (accessed October 2006).
11. American Diabetes Association. Standards of medical care for patients with diabetes mellitus. Diabetes Care. 2006;29: S4-S42, Available at http://care.diabetesjournals.org/content/vol29/suppl_1/ (accessed October 2006).
12. National Committee for Quality Assurance. HEDIS 2007 Volume 2, Technical Manual, Washington DC, 2006.
13. The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 1993;329:977-86.
14. UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837-53.
15. Hayward RA, Hofer TP, Vijan S. Narrative review: Lack of evidence for recommended low-density lipoprotein treatment targets: a solvable problem. Ann Int Med 2006;145:520-30.
16. California Healthcare Foundation/American Geriatrics Society Panel on Improving Care for Elders with Diabetes. Guidelines for improving the care of the older person with diabetes mellitus, Available at http://www.americangeriatrics.org/products/positionpapers/JAGSfinal05.pdf (accessed October 2000).
17. Veterans Health Administration. Clinical practice guidelines for management of diabetes mellitus, Available at http://www.oqp.med.va.gov/ cpg/DM/DM_base.htm (accessed May 2006).
18. Gavin LA, Barth J, Arnold D, et al. Troglitazone add-on therapy to a combination of sulfonylureas plus metformin achieved and sustained effective diabetes control. Endocr Pract 2000;6:305-10.
19. Rosenstock J, Dailey G, Massi-Benedelti M, et al. Reduced hypoglycemia risk with insulin glargine: a meta-analysis comparing insulin glargine with human NPH insulin in type 2 diabetes. Diabetes Care 2005;28:950-5.
20. Cushman WC, Ford CE, Cutler JA, et al. Success and predictors of blood pressure control in diverse North American settings: the antihypertensive and lipid-lowering treatment to prevent heart attack trial (ALLHAT). J Clin Hypertens (Greenwich) 2002;4:393-404.
21. Shojania KG, Ranji SR, McDonald KM, et al. Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. JAMA 2006;296:427-40.
22. Murray MD, Harris LE, Overhage JM, et al. Failure of computerized treatment suggestions to improve health outcomes of outpatients with uncomplicated hypertension: results or a randomized controlled trial. Pharmacotherapy 2004;24:324-37.
23. Pogach LM, Rajan M, Aron DC. Aligning performance measurement with clinical epidemiology: comparison of weighted performance measurement and dichotomous thresholds for glycemic control in the Veterans Health Administration. Diabetes Care 2006;29:241-6.
24. Saaddine JB, Cadwell B, Gregg EW, et al. Improvements in diabetes processes of care and intermediate outcomes: United States, 1988-2002. Ann Intern Med 2006;144:465-74.
25. Perlin JB, Pogach LM. Improving the outcomes of metabolic conditions: managing momentum to overcome clinical inertia. Ann Intern Med 2006;144:525-7.