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  1. The case for case-mix adjustment in practice profiling : when good apples look bad.

    Article - En anglais


    - To assess the influence of patient characteristics on practice profiling.

    Using the example of specialty referrals by primary care physicians, we evaluated the impact of adjusting for patient characteristics (age/sex vs case mix) on the estimation of practice variation, the identification of outlier practices, and the evaluation of potential predictors of variation.

    Design and Setting

    - We applied several measurement strategies to a retrospective cohort of patients (N=37 830) within 52 physician practices in a large staff-model health maintenance organization during a 1-year period.

    Outcome Measures

    We calculated unadjusted referral rates and adjusted standardized referral ratios for each physician.

    Mots-clés Pascal : Soin santé primaire, Malade, Age, Sexe, Homme, Médecin généraliste, Etude cohorte, Etude statistique, Adaptation professionnelle, Besoin, Profil, Organisation santé

    Mots-clés Pascal anglais : Primary health care, Patient, Age, Sex, Human, General practitioner, Cohort study, Statistical study, Occupational adjustment, Need, Profile, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0028418

    Code Inist : 002B30A01A2. Création : 09/06/1995.