HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Horn, S D Articles by Moses, H Search for Related Content PubMed PubMed Citation Articles by Horn, S D Articles by Moses, H

Profiles of physician practice and patient severity of illness.

S D Horn, R A Horn and H Moses

We report on a study that examined physician practice profiles using two methods of patient classification: the Severity of Illness Index and diagnosis-related groups (DRGs). When used together with conventional management information and DRGs, the Severity of Illness Index permitted useful comparisons to be made among physicians; differences in both case-mix and severity could be estimated. In 37 per cent of the physicians studied, we found differences of more than $10,000 in the apparent impact of a physician on the hospital's financial position, depending on whether one controlled for severity or not. The extent to which these differences in impact could be due to quality of care differences is an area for future research. However, the findings that 37 per cent of the physicians in the study may be wrongly identified as over- or under-utilizers suggest long-term public health consequences of preparing physician profiles based on unadjusted DRGs.

This article has been cited by other articles:

				D. R. Longo and A. J. Daugird Measuring the Quality of Care: Reforming the Health Care System American Journal of Medical Quality, September 1, 1994; 9(3): 104 - 115. [Abstract] [PDF]

				L. E. Markson, D. B. Nash, D. Z. Louis, and J. S. Gonnella Clinical Outcomes Management and Disease Staging Eval Health Prof, June 1, 1991; 14(2): 201 - 227. [Abstract] [PDF]

				N. Hershey Applying Utilization Review Findings in Medical Staff Appointment and Reappointment Decisions American Journal of Medical Quality, January 1, 1986; 1(4): 109 - 112. [PDF]