title: Quality Measurement in Gastroenterology: Confessions of a Realist.
abstract: Clinicians are required to report their performance on an ever-increasing number of quality measures. However, it is difficult to measure health care quality and it is unclear whether broadly applying accountability measures effectively improves care. This article considers these challenges and includes recommendations that may help gastroenterologists respond to demands for increased quality measurement.
authors.affiliation: Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina. Electronic address: sdorn@med.unc.edu.
authors.forename: Spencer D
authors.initials: SD
authors.lastname: Dorn
mesh_terms: D005762:Gastroenterology / Q000379:methods* / Q000592:standards*; D006801:Humans; D011787:Quality of Health Care / Q000592:standards*; D012941:Social Responsibility
keywords: Accountability; Measurement; Quality