Physician ratings of appropriate indications for six medical and surgical procedures
Bibliographic Data
| ID | 11025352 |
|---|---|
| Authors | R E Park, Rohnert Park, Arlene Fink (0000-0002-9496-0066), Robert H Brook (0000-0001-7648-3764), M R Chassin, Katherine L Kahn, Nancy J Merrick, Jacqueline Kosecoff, David H Solomon (0000-0001-8765-7045) |
| Year | 1986 |
| Volume | 76 |
| Issue | 7 |
| Pages | 766-772 |
| Publication date | 1986-07-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.76.7.766 |
| PMID | 3521341 |
| OpenAlex | W1998502362 |
| Language | EN |
| Citations received | 27 |
| References cited | 6 |
We convened three panels of physicians to rate the appropriateness of a large number of indications for performing a total of six medical and surgical procedures. The panels followed a modified Delphi process. Panelists separately assigned initial ratings, then met in Santa Monica, California where they received reports showing their initial ratings and the distribution of the other panelists ratings. They discussed the indications and revised the indications lists, then individually assigned final ratings. There was generally better agreement on the final ratings than on the initial ratings. Based on reasonable criteria for agreement and disagreement, and excluding one outlying procedure, the panelists agreed on ratings for 42 to 56 per cent of the indications, and disagreed on 11 to 29 per cent
Family medicine · Healthcare cost, quality, practices · Healthcare Policy and Management · Medical Malpractice and Liability Issues · Medicine
Lessons learned in the development of process quality indicators for cancer care in Japan
The Effect of a Second Opinion Program on Hysterectomy Performance
Influence of Knowledge and Attitudes on the Quality of Physicians?? Transfusion Practice
Assigning Appropriateness Ratings for Diagnostic Upper Gastrointestinal Endoscopy Using Two Different Approaches
Developing Criteria for Ordering Common Ancillary Services
Explaining Geographic Variations
Consensus development methods, and their use in clinical guideline development.
Racial Differences in the Use of Invasive Cardiovascular Procedures in the Department of Veterans Affairs Medical System
A Primer on Outcomes in Dentistry
Competition, Productivity and the Cult of ‘More is Good’ in the Australian Health Care Sector
Quality indicators for depression care in HIV patients
A confidential enquiry into emergency hospital admissions on the Isle of Wight, UK
The epidemiology of indications
A matter of opinion about hysterectomies
Paul Anthony Lembcke, MD, MPH
Placing patients in the queue for coronary revascularization
Derivation of clinical indications for carotid endarterectomy by an expert panel
Screening recommendations for the elderly
Physician ratings of appropriate indications for three procedures
Reproducibility of Measures of Overuse of Cataract Surgery by Three Physician Panels
A New Paradigm for Alcohol Use in Older Persons
Variations by Specialty in Physician Ratings of the Appropriateness and Necessity of Indications for Procedures
The Effect of Panel Membership and Feedback on Ratings in a Two-Round Delphi Survey
Reliability of Clinical Guideline Development Using Mail-Only versus In-Person Expert Panels
Race and Gender Disparities in Rates of Cardiac Revascularization
Appropriateness measurement
Appropriateness in health care
| Citations per year | 0.69 |
|---|---|
| Citation span | 1987 - 2010 (24) |
| Highly cited | No |