Profiling of health care professionals, quality improvement, and ambulatory case mix systems: a commentary on the article by Douglas Cave.
Success of managed care programs is dependent on accurate risk-adjusted profiling of physician utilization and quality. The profiling can be utilized for either adjustment of capitation or feedback to physicians. Currently available tools are useful for feedback but not for capitation.
3M/Health Information Systems, Inc., Wallingford, CT.
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Goldfield
D000553:Ambulatory Care / Q000145:classification / Q000706:statistics & numerical data*; D002204:Capitation Fee / Q000458:organization & administration; D003625:Data Collection; D003953:Diagnosis-Related Groups / Q000191:economics / Q000706:statistics & numerical data; D006123:Group Practice / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000706:statistics & numerical data*; D014481:United States; D014600:Utilization Review