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Profiling physician practice: a potential for misuse

R M Massanari1

  • 1Henry Ford Health System, Detroit, MI.

Infection Control and Hospital Epidemiology
|June 1, 1994
PubMed
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Physician profiling, like surgeon-specific infection rates, aims to improve surgical quality. Methodologic concerns exist, but healthcare reform pressures suggest scrutiny of physician practice will likely increase.

Area of Science:

  • Healthcare Management
  • Epidemiology
  • Surgical Quality Improvement

Background:

  • Physician profiling is a known practice for hospital epidemiologists.
  • Surgeon-specific postoperative wound infection rates are used for quality monitoring.
  • Concerns include small sample sizes, risk adjustment validity, and data reliability.

Purpose of the Study:

  • To examine the role and challenges of physician profiling in healthcare quality improvement.
  • To discuss the impact of methodologic concerns on physician profiling.
  • To consider the future of physician practice scrutiny amidst healthcare reform.

Main Methods:

  • Review of existing literature on physician profiling and surgical outcomes.
  • Analysis of methodologic challenges in risk adjustment and data collection.

Related Experiment Videos

  • Discussion of the influence of healthcare reform on regulatory oversight.

    • Main Results:

    • Physician profiling, particularly surgeon-specific infection rates, has been utilized for quality assessment.
    • Significant methodologic concerns have led to varied opinions on its effectiveness.
    • Despite concerns, regulatory and managerial pressures favor increased scrutiny of physician practice.

    Conclusions:

    • Methodologic limitations in physician profiling are acknowledged.
    • Healthcare reform and skepticism towards physician decision-making are driving increased oversight.
    • Expanded scrutiny of physician practice is anticipated despite existing challenges.