Thompson R E
Physician Exec. 1998 Jan-Feb;24(1):46-50.
The six methods used to create physician performance reports-a less pejorative term than physician report cards-are seriously flawed. These current approaches are peer review, essay-style reports, raw data, statistical reports, outcome analysis, and aggregate variation from guidelines. We must deliver what we promise in information designed to confirm dependable practitioner performance. Otherwise, we risk confirming, instead, the public's suspicion that the emphasis in "managed care" is too much on managing profit and too little on patient care. This article explores a plan for how to proceed with evaluating physician performance.
用于生成医生绩效报告（这一术语比“医生成绩单”少些贬义）的六种方法存在严重缺陷。当前的这些方法包括同行评审、论文式报告、原始数据、统计报告、结果分析以及与指南的总体差异。我们必须在旨在证实可靠从业者表现的信息中兑现承诺。否则，我们反而有可能证实公众的怀疑，即“管理式医疗”过于强调利润管理，而对患者护理关注过少。本文探讨了如何进行医生绩效评估的计划。
