Physician Profiling -- An Analysis of Inpatient Practice Patterns in Florida and Oregon

As health care costs continue to escalate, U.S. physicians are becoming increasingly aware of the need to set limits on the services they deliver. Two types of review could be used to set limits: assessing the appropriateness of specific decisions, and assessing the broad pattern of decisions made o...

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Veröffentlicht in:The New England journal of medicine 1994-03, Vol.330 (9), p.607-612
Hauptverfasser: Welch, H. Gilbert, Welch, W. Pete, Miller, Mark E
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container_title The New England journal of medicine
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creator Welch, H. Gilbert
Welch, W. Pete
Miller, Mark E
description As health care costs continue to escalate, U.S. physicians are becoming increasingly aware of the need to set limits on the services they deliver. Two types of review could be used to set limits: assessing the appropriateness of specific decisions, and assessing the broad pattern of decisions made over time. Because the case-by-case approach not only burdens physicians with tiresome “nickel and dime” reviews but also does not easily accommodate legitimate exceptions to practice guidelines, 1 – 3 physicians have a strong interest in devising limit-setting mechanisms that are based on their average behavior over time. The concept of focusing on patterns . . .
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine
subjects Beneficiaries
Cost Control - statistics & numerical data
Costs
Diagnosis-Related Groups - statistics & numerical data
Endoscopy
Expenditures
Florida
Health care policy
Health maintenance organizations
HMOs
Hospitals
Hospitals - utilization
Humans
Medical practices
Medical Staff, Hospital - statistics & numerical data
Medicare
Medicare - economics
Medicare - utilization
Medicine - statistics & numerical data
Oregon
Patient admissions
Physicians
Practice Patterns, Physicians' - economics
Practice Patterns, Physicians' - statistics & numerical data
Relative Value Scales
Specialization
United States
title Physician Profiling -- An Analysis of Inpatient Practice Patterns in Florida and Oregon
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