Practice profiles

Joseph C. Masdeu; John H. Lossing; Robert L. Wears; H. Gilbert Welch; Mark E. Miller; W. Pete Welch; Jerome P. Kassirer

doi:10.1056/NEJM199407213310314

Practice profiles

Joseph C. Masdeu, John H. Lossing, Robert L. Wears, H. Gilbert Welch, Mark E. Miller, W. Pete Welch, Jerome P. Kassirer

Research output: Contribution to journal › Letter › peer-review

2 Scopus citations

Abstract

To the Editor: The article by Welch et al. (March 3 issue)¹ on physician profiling describes that method well but also illustrates its shortcomings. Adjustment for case mix is the Achilles' heel of physician profiling. All physicians know how flimsy the relation is between actual clinical severity and statistical diagnosis-related groups, not just in individual cases, but for a population as well. Welch et al. omit the age of the Medicare population studied in Oregon as compared with the age of the one studied in Florida. Age alone could explain the difference in utilization found in their study. To the.

Original language	English (US)
Pages (from-to)	201-203
Number of pages	3
Journal	New England Journal of Medicine
Volume	331
Issue number	3
DOIs	https://doi.org/10.1056/NEJM199407213310314
State	Published - Jul 21 1994

ASJC Scopus subject areas

Medicine(all)

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10.1056/NEJM199407213310314

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AU - Masdeu, Joseph C.

AU - Lossing, John H.

AU - Wears, Robert L.

AU - Welch, H. Gilbert

AU - Miller, Mark E.

AU - Welch, W. Pete

AU - Kassirer, Jerome P.

PY - 1994/7/21

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AB - To the Editor: The article by Welch et al. (March 3 issue)1 on physician profiling describes that method well but also illustrates its shortcomings. Adjustment for case mix is the Achilles' heel of physician profiling. All physicians know how flimsy the relation is between actual clinical severity and statistical diagnosis-related groups, not just in individual cases, but for a population as well. Welch et al. omit the age of the Medicare population studied in Oregon as compared with the age of the one studied in Florida. Age alone could explain the difference in utilization found in their study. To the.

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Practice profiles

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