Comparison of Vignettes, Standardized Patients, and Chart Abstraction: A Prospective Validation Study of 3 Methods for Measuring Quality
Article Abstract:
Clinical vignettes can be used to measure the quality of care doctors provide. Clinical vignettes are written summaries of a fictional patient with a particular set of symptoms. Researchers compared clinical vignettes to a written summary of a patient's medical chart or an evaluation by an actor posing as a patient. The vignette was closest to the evaluation by the actor, which was considered the best way of evaluating doctors. A summary of a patient's chart was less effective and would not be cost-effective in an outpatient setting.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
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The Quest to Quantify Quality
Article Abstract:
Clinical vignettes may be a useful method of measuring the quality of medical care. Vignettes are documents describing a fictional patient with a particular set of symptoms. Doctors would describe how they would treat such a patient. One problem with this approach is that it takes time to do this. And the vignettes would have to be updated as treatments change. A study published in 2000 found that clinical vignettes were as effective in measuring quality of care as actors who pose as patients. However, vignettes should be used in conjunction with other techniques for measuring quality.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
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Clinical Performance Measurement--A Hard Sell
Article Abstract:
Employers and other large health care purchasers should use health care plans that use clinical performance data to choose doctors and hospitals. Clinical performance data essentially means that doctors and hospitals are rated on how well they perform. This information is collected and published in many states, but research shows that many purchasers of health care are not using the data to choose doctors and hospitals. A study published in 2000 showed that managed care plans were actually more likely to contract with hospitals that have high mortality rates from coronary bypass surgery than those that have low mortality rates.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
User Contributions:
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