A physician self-assessment tool for quality improvement.
A physician self-assessment (PSA) tool was evaluated as an alternative to full chart reviews to assess guideline adherence. PSAs, consisting of brief self-report questionnaires, were developed for asthma management and mammography screening and were mailed to participating physicians in a partially capitated Medicaid managed care insurance program. A random chart audit was conducted at each practice site, and results were compared to the PSA responses. An 85% concordance was found between the asthma PSA and chart data, and an 88% concordance was found between the mammography PSA and chart data. These findings suggest that the PSA, combined with random chart audits, can be a viable alternative to full chart reviews.
Kahn
Linda S
LS
Department of Family Medicine, State University of New York, Buffalo School of Medicine and Biomedical Sciences, USA. lskahn@buffalo.edu
Fox
Chester H
CH
Berdine
Diane E
DE
Krause-Kelly
Julia
J
Raghu
Vijayalakshmi
V
D001249:Asthma / Q000628:therapy; D019983:Guideline Adherence; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000592:standards; D008484:Medicaid / Q000592:standards; D008485:Medical Audit; D010818:Practice Patterns, Physicians' / Q000592:standards*; D012655:Self-Evaluation Programs; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000379:methods*; D014481:United States