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The unintended consequences of publicly reporting quality information

Article Abstract:

Health care report cards publicly report information about physician, hospital and health plan quality in order to improve quality. But, public reporting may cause unintended and negative consequences on health care causing physicians to avoid sick patients in order to improve their quality ranking, encouraging physicians to achieve target rates for health care interventions even when it may be inappropriate among some patients, discounting patient preferences and clinical judgment.

Author: Asch, David A., Werner, Rachel M.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2005
General services, Care and treatment, Company systems management, Information management, Sick, Sick persons

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Medicare spending on physicians - no easy fix in sight

Article Abstract:

The resource-based relative-value scale is implemened by Medicare to enhance the quality and efficiency of medical care. It is found that there is increase in the volume of specialties after the implementation.

Author: Newhouse, Joseph P.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2007
Services information, Editorial, Evaluation, Services, Medicare

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Subjects list: United States, Health care industry, Practice, Physicians, Quality management
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