What should our report cards look like?

0

Category : General, Medical Rants

I am quoted in this article – so it deserves a link! (insert grin here)

Docs’ Technical Skills Matter More to Patients than Bedside Manner

Participants in the study used report card grades to compare pairs of physicians with opposite strengths. For instance, one pair matched a doctor with high technical skill grades but low personal skill grades against a doctor with excellent people skills and poor technical skills.

For three of five physician pairs, two-thirds of the participants chose the doctor with the better technical skills, researcher Constance Fung, MD, of RAND and colleagues discovered. However, 33% of the participants chose a doctor with an excellent bedside manner in three of the five pairs, “suggesting that interpersonal quality was important for a substantial number of people in our sample,” says Fung, who is also a staff physician at the Greater Los Angeles Veterans Affairs Medical Center.

Patients may be willing to tolerate poor personal skills up to a point, the researchers found. Half of the participants chose the doctor with better personal skills from pairs in which the other doctor was graded low on his or her patient interactions.

The technical skills graded on the mock report cards included care for sickness or injury, ongoing care for chronic conditions like high blood pressure, and preventive care. Personal skills included the doctor’s communication skills, courtesy and respect toward patients, and promptness.

Fung and colleagues told the study participants that the information behind the technical grades in the mock report cards came from reviews of medical chart records and insurance bills, while the personal skills grades were based on patients’ experiences with the doctors.

Participants said they trusted the expert reviews of the medical records more than the patient reports, which may explain in part why they were more apt to choose doctors with high grades in technical expertise.

And based on this information I comment:

Robert Centor, MD, a physician and professor at the University of Alabama at Birmingham who has criticized healthcare report cards in the past, says the RAND study “gets closer” to a report card that measures multiple dimensions of a physician’s competency and skills.

People who want to evaluate a doctor’s quality would want to know if a physician “makes the right diagnoses, uses the right tests and interprets those tests correctly, uses treatments correctly, and understands their contraindications,” Centor says.

“I would also want to know, ‘Does that physician engender a patient’s trust?’ and ‘Does that physician explain to patients what is wrong with them and why he or she is pursuing a certain course of action?'” he adds.

Fung and colleagues say the results of their study “help us understand the choices people might make if they had comparative information about the technical and interpersonal quality of care of primary physicians in their area.”

Unfortunately, the researchers note, such choices only exist in their mock report card study.

While I commend the ideas behind the study, I caution that the artificiality of the study limits our ability to develop firm conclusions from these data. These data provide interesting hypotheses. We need more such studies to better understand the entire report card issue.

viagra
free viagra
buy viagra online
generic viagra
how does viagra work
cheap viagra
buy viagra
buy viagra online inurl
viagra 6 free samples
viagra online
viagra for women
viagra side effects
female viagra
natural viagra
online viagra
cheapest viagra prices
herbal viagra
alternative to viagra
buy generic viagra
purchase viagra online
free viagra without prescription
viagra attorneys
free viagra samples before buying
buy generic viagra cheap
viagra uk
generic viagra online
try viagra for free
generic viagra from india
fda approves viagra
free viagra sample
what is better viagra or levitra
discount generic viagra online
viagra cialis levitra
viagra dosage
viagra cheap
viagra on line
best price for viagra
free sample pack of viagra
viagra generic
viagra without prescription
discount viagra
gay viagra
mail order viagra
viagra inurl
generic viagra online paypal
generic viagra overnight
generic viagra online pharmacy
generic viagra uk
buy cheap viagra online uk
suppliers of viagra
how long does viagra last
viagra sex
generic viagra soft tabs
generic viagra 100mg
buy viagra onli
generic viagra online without prescription
viagra energy drink
cheapest uk supplier viagra
viagra cialis
generic viagra safe
viagra professional
viagra sales
viagra free trial pack
viagra lawyers
over the counter viagra
best price for generic viagra
viagra jokes
buying viagra
viagra samples
viagra sample
cialis
generic cialis
cheapest cialis
buy cialis online
buying generic cialis
cialis for order
what are the side effects of cialis
buy generic cialis
what is the generic name for cialis
cheap cialis
cialis online
buy cialis
cialis side effects
how long does cialis last
cialis forum
cialis lawyer ohio
cialis attorneys
cialis attorney columbus
cialis injury lawyer ohio
cialis injury attorney ohio
cialis injury lawyer columbus
prices cialis
cialis lawyers
viagra cialis levitra
cialis lawyer columbus
online generic cialis
daily cialis
cialis injury attorney columbus
cialis attorney ohio
cialis cost
cialis professional
cialis super active
how does cialis work
what does cialis look like
cialis drug
viagra cialis
cialis to buy new zealand
cialis without prescription
free cialis
cialis soft tabs
discount cialis
cialis generic
generic cialis from india
cheap cialis sale online
cialis daily
cialis reviews
cialis generico
how can i take cialis
cheap cialis si
cialis vs viagra
levitra
generic levitra
levitra attorneys
what is better viagra or levitra
viagra cialis levitra
levitra side effects
buy levitra
levitra online
levitra dangers
how does levitra work
levitra lawyers
what is the difference between levitra and viagra
levitra versus viagra
which works better viagra or levitra
buy levitra and overnight shipping
levitra vs viagra
canidan pharmacies levitra
how long does levitra last
viagra cialis levitra
levitra acheter
comprare levitra
levitra ohne rezept
levitra 20mg
levitra senza ricetta
cheapest generic levitra
levitra compra
cheap levitra
levitra overnight
levitra generika
levitra kaufen

Post a comment