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American Journal of Public Health, Vol. 87, Issue 4 663-666, Copyright © 1997 by American Public Health Association

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Rural hospitals' experience with the National Practitioner Data Bank.

W E Neighbor, L M Baldwin, P A West and L G Hart

Department of Family Medicine, University of Washington School of Medicine, Seattle 98195, USA.

OBJECTIVES: This study examined hospital administrators' experiences with the National Practitioner Data Bank. METHODS: One hundred forty-nine rural hospital administrators completed questionnaires assessing their perceptions of the data bank. RESULTS: Nearly 90% of respondents rated the data bank as an important source of information for credentialing. Three percent indicated it had directly affected privileging decisions; 43% and 34%, respectively, believed the costs exceeded or equaled the benefits. Twenty percent reported changes that could decrease disciplinary action reports to the data bank. CONCLUSIONS: While the National Practitioner Data Bank is an important source of information to rural hospitals, it may, affect few credentialing decisions and motivate behavioral changes that could have a paradoxical effect on quality assurance.




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L.-M. Baldwin, L. G. Hart, R. E. Oshel, M. A. Fordyce, R. Cohen, and R. A. Rosenblatt
Hospital Peer Review and the National Practitioner Data Bank: Clinical Privileges Action Reports
JAMA, July 28, 1999; 282(4): 349 - 355.
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