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Realizing the potential of practice pattern profiling.

R D Lasker1, D W Shapiro, A M Tucker

  • 1Physician Payment Review Commission, Washington, DC 20037.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|January 1, 1992
PubMed
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Practice pattern profiling can enhance healthcare quality and performance assessment. Further development in data and infrastructure is crucial for its future potential in health care reform.

Area of Science:

  • Healthcare Management
  • Medical Informatics
  • Health Services Research

Background:

  • The Physician Payment Review Commission convened a conference in January 1992 to discuss the appropriateness and future potential of practice pattern profiling.
  • Key areas addressed included data requirements, profile validity, impact on medical practice, and public access controversies.

Framework:

  • Profiling serves multiple roles: quality improvement, provider performance assessment, and utilization review.
  • The paper reviews fundamental profiling concepts and their practical applications.
  • Case studies illustrate challenges encountered in profiling implementation.

Implementation:

  • The conference explored the development of valid and relevant practice profiles.
  • Discussion covered the impact of profiling on medical practice and associated controversies.

Related Experiment Videos

  • Current uses and limitations of profiling were examined.

    • Implications:

    • Profiling can significantly contribute to achieving health care reform goals.
    • Improving profiling requires advancements in data and infrastructure.
    • Enhanced profiling can lead to better quality of care and resource utilization.