Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Applying case mix adjustment in profiling primary care physician performance

W Chang1, S B McCracken

  • 1Medical Management Department, Blue Cross Blue Shield of Iowa, Des Moines, USA.

Journal of Health Care Finance
|January 1, 1996
PubMed
Summary

Developing a performance index for primary care physicians (PCPs) is crucial. Standard demographic adjustments are insufficient for accurately assessing PCP efficiency using administrative data.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Individual differences in medical radiation exposure in CT dosimetry based on age and BMI.

Annals of the ICRP·2026
Same author

Corrigendum to "Fruquintinib in refractory metastatic colorectal cancer: a multicenter real-world study": [ESMO Open 9 (2024) 103702].

ESMO open·2025
Same author

Fruquintinib in refractory metastatic colorectal cancer: a multicenter real-world study.

ESMO open·2024
Same author

[Application of three risk assessment methods to noise risk assessment in an automobile foundry enterprise].

Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases·2022
Same author

Λ_{c}^{+} Production and Baryon-to-Meson Ratios in pp and p-Pb Collisions at sqrt[s_{NN}]=5.02  TeV at the LHC.

Physical review letters·2021
Same author

Age-related alterations to working memory and to pyramidal neurons in the prefrontal cortex of rhesus monkeys begin in early middle-age and are partially ameliorated by dietary curcumin.

Neurobiology of aging·2021

Area of Science:

  • Health Services Research
  • Medical Informatics
  • Healthcare Management

Background:

  • Large administrative databases offer valuable insights for health services management.
  • Accurate assessment of primary care physician (PCP) practice patterns requires robust methodologies.
  • Existing risk adjustment factors, such as age and sex, are inadequate for controlling patient resource needs.

Purpose of the Study:

  • To develop a performance efficiency index for profiling PCP practice patterns.
  • To evaluate the ambulatory care group case mix system's ability to account for patient resource variations.

Main Methods:

  • Analysis of large administrative healthcare databases.
  • Development of a novel performance efficiency index for PCPs.

Related Experiment Videos

  • Testing the explanatory power of the ambulatory care group case mix system.

    • Main Results:

    • Large administrative databases can yield significant information for health services management.
    • The ambulatory care group case mix system shows potential but requires refinement.
    • Conventional demographic risk adjustment factors (age, sex) are insufficient for accurate profiling.

    Conclusions:

    • Methodological advancements are essential for analyzing large administrative healthcare data.
    • Developing and applying enhanced risk adjustment systems is critical.
    • Improved risk adjustment will maximize the value of administrative databases for profiling PCP efficiency.