Public release of operator-specific data for cardiovascular procedures has set a new precedent, introducing the « scorecard » era.
Justification exists for public disclosure, but the mechanics of appropriate data release are complex from a clinical, statistical, and logistic standpoint.
Scorecard medicine may appropriately promote regionalization of medical centers and consolidation of services, but unless the process is directed effectively, it may impair the development of new treatments because of a more restrictive clinical practice environment.
We propose revamping our current system to facilitate rapid and accurate access to outcome data in the local practice environment so that improvement in practice occurs on a voluntary basis rather than in response to punitive restrictions.
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Homme, Evaluation, Système santé, Cardiologie, Analyse statistique, Information biomédicale, Méthode statistique
Mots-clés Pascal anglais : United States, North America, America, Human, Evaluation, Health system, Cardiology, Statistical analysis, Biomedical information, Statistical method
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0177980
Code Inist : 002B28E. Création : 199406.