The comprehensive care project: measuring physician performance in ambulatory practice.

ABSTRACT:

Objective

To investigate the feasibility, reliability, and validity of comprehensively assessing physician-level performance in ambulatory practice.

Data sources/study setting

Ambulatory-based general internists in 13 states participated in the assessment.

Study design

We assessed physician-level performance, adjusted for patient factors, on 46 individual measures, an overall composite measure, and composite measures for chronic, acute, and preventive care. Between- versus within-physician variation was quantified by intraclass correlation coefficients (ICC). External validity was assessed by correlating performance on a certification exam.

Data collection/extraction methods

Medical records for 236 physicians were audited for seven chronic and four acute care c

SUBMITTER: Holmboe ES 

PROVIDER: S-EPMC3029848 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature