Lyons T F, Payne B C
Med Care. 1977 Jun;15(6):475-81. doi: 10.1097/00005650-197706000-00003.
Correlations among ten diagnostic categories of hospital care physican performance measures are reported. Using measures of conformance to predetermined criteria for optimal performance, mean scores of individual physican performances within diagnostic categories were calculated and correlated. Measurement reliability estimates were computed and it was suggested that a minimum of four cases in each diagnostic category be used for measurement of performance on the individual physician level of analysis. There appeared to be homogeneity of performance measures among some but not all diagnoses studied. This finding reinforces the need to examine interdiagnostic correlations before attempting to measure overall individual physican performance by combining measures from separate diagnostic categories.
报告了医院护理医师绩效衡量的十个诊断类别的相关性。使用符合最佳绩效预定标准的衡量方法，计算并关联了诊断类别内个体医师绩效的平均得分。计算了测量可靠性估计值，并建议在个体医师分析层面，每个诊断类别至少使用四个病例来衡量绩效。在所研究的部分而非所有诊断中，绩效衡量似乎具有同质性。这一发现强化了在尝试通过合并来自不同诊断类别的衡量方法来衡量个体医师整体绩效之前，检查诊断间相关性的必要性。
