Measuring Clinical Performance of Individual Internists in Office and Hospital Practice
Bibliographic Data
| ID | 9104795 |
|---|---|
| Authors | Paul J Sanazaro (University of California, San Francisco, corresponding author), ROBERT M WORTH (0000-0003-4330-3661, University of Hawaii System) |
| Year | 1985 |
| Volume | 23 |
| Issue | 9 |
| Pages | 1097-1114 |
| Publication date | 1985-09-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198509000-00007 |
| PMID | 4033236 |
| OpenAlex | W2022945485 |
| Language | EN |
| Citations received | 6 |
| References cited | 13 |
No standardized methods exist for reliably measuring physicians' performance against clinically valid standards. In this study, statistically reliable peer review based on current national standards of internal medicine was used to evaluate the clinical performance of 66 internists in office and hospital practice. Evaluation was limited to the substantiation of diagnosis, prescribing indicated drug regimen, monitoring, and attaining expected patient response. Performance in substantiating diagnosis was better than in therapeutic management, and management in hospitalized patients was superior to office management. Superior performance by a physician was not consistent across diagnoses, but substandard office treatment in at least one diagnosis was associated with substandard office treatment in other conditions. Internists' performance was unrelated to their certification status but inversely related to the number of years since graduation from medical school. This method could be used to evaluate the effectiveness of continuing education in improving physicians' performance and to validate current examinations used in recertifying internists
Certification · Continuing education · Continuing medical education · Family medicine · Graduation (instrument) · Medical diagnosis · Medical education · Medical emergency · MEDLINE · Emergency and Acute Care Studies · Emergency Medicine · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare
Performance Quality, Gender, and Professional Role
Systematic Review
Consistency in Performance Among Primary Care Practitioners
Use of Administrative Data to Find Substandard Care
Issues of Variability and Bias Affecting Multisite Measurement of Quality of Care
Meta-analysis of satisfaction with medical care
Practical Versus Impractical Peer Review
Peer Review of Medical Care
Physician management in primary care
Quality Assurance through Automated Monitoring and Concurrent Feedback Using a Computer-Based Medical Information System
Quality of Clinical Management of Disease in Comprehensive Neighborhood Health Centers
Office Records in the Evaluation of Quality of Care
Physician Performance and Its Effects on Patients
Clinical Performance in Australian General Practice
Improving Hypertension Control
The Relationship between Physician Characteristics and Prescribing Appropriateness
Individual and Institutional Variables Which May Serve as Indicators of Quality of Medical Care
The General Practitioner
Large sample standard errors of kappa and weighted kappa
| Citations per year | 0.16 |
|---|---|
| Citation span | 1988 - 2005 (18) |
| Highly cited | No |