An examination of the relationships between physicians' clinical and hospital-utilization performance
To examine the relationships between measures of attending physician teams' clinical and utilization performance, inpatient hospital audits were conducted in 22 Maryland and western Pennsylvania nonfederal short-term hospitals. A total of 6,980 medical records were abstracted from eight diagnos...
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| Veröffentlicht in: | Health services research 1981-01, Vol.16 (3), p.285-303 |
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| creator | Saywell, Jr, R M Bean, J A Ludke, R L Redman, R W McHugh, G J |
| description | To examine the relationships between measures of attending physician teams' clinical and utilization performance, inpatient hospital audits were conducted in 22 Maryland and western Pennsylvania nonfederal short-term hospitals. A total of 6,980 medical records were abstracted from eight diagnostic categories using the Payne and JCAH PEP medical audit procedures. The results indicate weak statistical associations between the two medical care evaluation audits; between clinical performance and utilization performance, as measured by appropriateness of admissions and length of stay; and between three utilization measures. Based on these findings, it does not appear valid to use performance in one area to evaluate performance in the other in order to measure or evaluate and ultimately improve physicians; clinical or utilization performance. |
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A total of 6,980 medical records were abstracted from eight diagnostic categories using the Payne and JCAH PEP medical audit procedures. The results indicate weak statistical associations between the two medical care evaluation audits; between clinical performance and utilization performance, as measured by appropriateness of admissions and length of stay; and between three utilization measures. Based on these findings, it does not appear valid to use performance in one area to evaluate performance in the other in order to measure or evaluate and ultimately improve physicians; clinical or utilization performance.</description><subject>Clinical Competence</subject><subject>Economic aspects</subject><subject>EVALUATION</subject><subject>Health care industry</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Joint Commission on Accreditation of Healthcare Organizations</subject><subject>Maryland</subject><subject>Medical Audit - standards</subject><subject>Medical care</subject><subject>Medical Staff, Hospital - standards</subject><subject>Pennsylvania</subject><subject>Professional Review Organizations</subject><issn>0017-9124</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1LxDAQhntQ1nX1Jwg56UEKSZo27UVYFr9gYS96DtN22kbSpDZZ3fXXW9xF9DQM8_DwDu9JNKeUybhgXJxF596_UUrzJBezaJYVIqMin0e4tAR30GsLQTtLXENCh2RE87P7Tg-elBg-ES0Zur3XlQbrb0hltNUVGAK2Jp3zgw5g4m3QRn8dVAOOjRt7sBVeRKcNGI-Xx7mIXh_uX1ZP8Xrz-LxaruOWFzLEWJc8Z1kuC4CCF3WZYCloCkme1nnRADZZyQSXJUt4igxY1mDNkeasTEXTQLKI7g7eYVv2WFdowwhGDaPuYdwrB1r9v1jdqdZ9KEYl5yKbBNdHwejet-iD6rWv0Biw6LZeyUQKzricwNsD2IJBpW3lbMBdqJwx2KKavlpt1JLTlEpBJ_rqb67fQMcakm9eLIZM</recordid><startdate>19810101</startdate><enddate>19810101</enddate><creator>Saywell, Jr, R M</creator><creator>Bean, J A</creator><creator>Ludke, R L</creator><creator>Redman, R W</creator><creator>McHugh, G J</creator><general>Health Research and Educational Trust</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19810101</creationdate><title>An examination of the relationships between physicians' clinical and hospital-utilization performance</title><author>Saywell, Jr, R M ; Bean, J A ; Ludke, R L ; Redman, R W ; McHugh, G J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g297t-edb2816879aa929db3eb405a385d89faef6b1427b1325e1a16fed2e081b54ffa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Clinical Competence</topic><topic>Economic aspects</topic><topic>EVALUATION</topic><topic>Health care industry</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Joint Commission on Accreditation of Healthcare Organizations</topic><topic>Maryland</topic><topic>Medical Audit - standards</topic><topic>Medical care</topic><topic>Medical Staff, Hospital - standards</topic><topic>Pennsylvania</topic><topic>Professional Review Organizations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saywell, Jr, R M</creatorcontrib><creatorcontrib>Bean, J A</creatorcontrib><creatorcontrib>Ludke, R L</creatorcontrib><creatorcontrib>Redman, R W</creatorcontrib><creatorcontrib>McHugh, G J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saywell, Jr, R M</au><au>Bean, J A</au><au>Ludke, R L</au><au>Redman, R W</au><au>McHugh, G J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An examination of the relationships between physicians' clinical and hospital-utilization performance</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv Res</addtitle><date>1981-01-01</date><risdate>1981</risdate><volume>16</volume><issue>3</issue><spage>285</spage><epage>303</epage><pages>285-303</pages><issn>0017-9124</issn><abstract>To examine the relationships between measures of attending physician teams' clinical and utilization performance, inpatient hospital audits were conducted in 22 Maryland and western Pennsylvania nonfederal short-term hospitals. 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| ispartof | Health services research, 1981-01, Vol.16 (3), p.285-303 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Clinical Competence Economic aspects EVALUATION Health care industry Hospitalization Humans Inpatients Joint Commission on Accreditation of Healthcare Organizations Maryland Medical Audit - standards Medical care Medical Staff, Hospital - standards Pennsylvania Professional Review Organizations |
| title | An examination of the relationships between physicians' clinical and hospital-utilization performance |
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