FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 330:634-636 March 3, 1994 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Once upon a time doctors had nearly complete professional autonomy. If they completed their training, were licensed by the state, and were certified by a professional board, they were assured the respect and trust of the public, and virtually no one kept track of their professional performance. What a difference a few decades make! Today, doctors' everyday decisions are regularly scrutinized, monitored, and regulated, and their judgments about individual patients can be overturned by nameless employees of third-party payers. Many physicians are concerned that recent approaches to quality control, such as practice guidelines and appropriateness studies, will regiment them even . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Mukamel, D. B., Spector, W. D. (2003). Quality Report Cards and Nursing Home Quality. Gerontologist 43: 58-66 [Abstract] [Full Text]  
• MATTKE, S., REILLY, K., MARTINEZ-VIDAL, E., MCLEAN, B., GIFFORD, D. (2003). Reporting quality of nursing home care to consumers: the Maryland experience. Int J Qual Health Care 15: 169-177 [Abstract] [Full Text]  
• Ferraris, V. A., Ferraris, S. P. (2003). Risk Stratification and Comorbidity. Card Surg Adult 2: 187-224 [Full Text]  
• Flynn, K. E., Smith, M. A., Davis, M. K. (2002). From Physician to Consumer: The Effectiveness of Strategies to Manage Health Care Utilization. Med Care Res Rev 59: 455-481 [Abstract]  
• Rider, E. A., Perrin, J. M. (2002). Performance Profiles: The Influence of Patient Satisfaction Data on Physicians' Practice. Pediatrics 109: 752-757 [Abstract] [Full Text]  
• Adab, P., Rouse, A. M, Mohammed, M. A, Marshall, T. (2002). Performance league tables: the NHS deserves better. BMJ 324: 95-98 [Full Text]  
• Porell, F. W. (2001). A Comparison of Ambulatory Care-Sensitive Hospital Discharge Rates for Medicaid HMO Enrollees and Nonenrollees. Med Care Res Rev 58: 404-424 [Abstract]  
• Shahian, D. M., Normand, S.-L., Torchiana, D. F., Lewis, S. M., Pastore, J. O., Kuntz, R. E., Dreyer, P. I. (2001). Cardiac surgery report cards: comprehensive review and statistical critique. Ann. Thorac. Surg. 72: 2155-2168 [Abstract] [Full Text]  
• Grol, R. (2001). Improving the Quality of Medical Care: Building Bridges Among Professional Pride, Payer Profit, and Patient Satisfaction. JAMA 286: 2578-2585 [Abstract] [Full Text]  
• Cowper, P. A., Peterson, E. D., DeLong, E. R., Wightman, M. B., Wawrzynski, R. P., Muhlbaier, L. H., Sketch, M. H. Jr (2001). The impact of statistical adjustment on economic profiles of interventional cardiologists. J Am Coll Cardiol 38: 1416-1423 [Abstract] [Full Text]  
• Glauber, J. H., Fuhlbrigge, A. L., Finkelstein, J. A., Homer, C. J., Weiss, S. T. (2001). Relationship Between Asthma Medication and Antibiotic Use. Chest 120: 1485-1492 [Abstract] [Full Text]  
• Weil, T. P. (2001). Commentary: Public Disclosure in the Health Field: Is There a Relevant Option?. American Journal of Medical Quality 16: 23-33 [Abstract]  
• Peterson, E. D., DeLong, E. R., Muhlbaier, L. H., Rosen, A. B., Buell, H. E., Kiefe, C. I., Kresowik, T. F. (2000). Challenges in comparing risk-adjusted bypass surgery mortality results: Results from the Cooperative Cardiovascular Project. J Am Coll Cardiol 36: 2174-2184 [Abstract] [Full Text]  
• Weiss, K. B., Wagner, R. (2000). Performance Measurement Through Audit, Feedback, and Profiling as Tools for Improving Clinical Care. Chest 118 : 53S-58S [Abstract] [Full Text]  
• Poses, R. M., McClish, D. K., Smith, W. R., Huber, E. C., Clemo, F. L. W., Schmitt, B. P., Alexander, D., Racht, E. M., Colenda, C. C. III (2000). Results of Report Cards for Patients with Congestive Heart Failure Depend on the Method Used To Adjust for Severity. ANN INTERN MED 133: 10-20 [Abstract] [Full Text]  
• Marshall, M. N., Shekelle, P. G., Leatherman, S., Brook, R. H. (2000). The Public Release of Performance Data: What Do We Expect to Gain? A Review of the Evidence. JAMA 283: 1866-1874 [Abstract] [Full Text]  
• Marshall, M. N, Shekelle, P. G, Leatherman, S., Brook, R. H (2000). Public disclosure of performance data: learning from the US experience. Qual Saf Health Care 9: 53-57 [Full Text]  
• Curtis, P., Mintzer, M., Morrell, D., Resnick, J. C., Hendrix, S., Qaqish, B. F. (1999). Characteristics and Quality of Papanicolaou Smears Obtained by Primary Care Clinicians Using a Single Commercial Laboratory. Arch Fam Med 8: 407-413 [Abstract] [Full Text]  
• Hofer, T. P., Hayward, R. A., Greenfield, S., Wagner, E. H., Kaplan, S. H., Manning, W. G. (1999). The Unreliability of Individual Physician "Report Cards" for Assessing the Costs and Quality of Care of a Chronic Disease. JAMA 281: 2098-2105 [Abstract] [Full Text]  
• Bindman, A. B. (1999). Can Physician Profiles Be Trusted?. JAMA 281: 2142-2143 [Full Text]  
• Kastrati, A., Neumann, F.-J., Schomig, A. (1998). Operator volume and outcome of patients undergoing coronary stent placement. J Am Coll Cardiol 32: 970-976 [Abstract] [Full Text]  
• Block, P. C., Peterson, E. C., Krone, R., Kesler, K., Hannan, E., O'Connor, G. T., Detre, K. (1998). Identification of variables needed to risk adjust outcomes of coronary interventions: evidence-based guidelines for efficient data collection. J Am Coll Cardiol 32: 275-282 [Abstract] [Full Text]  
• Berlowitz, D. R., Ash, A., Friedman, R., Hickey, E., Kader, B., Moskowitz, M. A. (1998). Problems in Assessing Diabetes Control in an Ambulatory Setting. American Journal of Medical Quality 13: 89-93 [Abstract]  
• Epstein, A. M. (1997). Medicaid Managed Care and High Quality: Can We Have Both?. JAMA 278: 1617-1621 [Abstract]  
• Miller, T. E. (1997). Managed Care Regulation: In the Laboratory of the States. JAMA 278: 1102-1109 [Abstract]  
• Ellis, S. G., Weintraub, W., Holmes, D., Shaw, R., Block, P. C., King, S. B. III (1997). Relation of Operator Volume and Experience to Procedural Outcome of Percutaneous Coronary Revascularization at Hospitals With High Interventional Volumes. Circulation 95: 2479-2484 [Abstract] [Full Text]  
• Iezzoni, L. I., Shwartz, M., Ash, A. S., Mackiernan, Y. D. (1996). Predicting In-hospital Mortality for Stroke Patients: Results Differ across Severity-measurement Methods. Med Decis Making 16: 348-356 [Abstract]  
• Schneider, E. C., Epstein, A. M. (1996). Influence of Cardiac-Surgery Performance Reports on Referral Practices and Access to Care -- A Survey of Cardiovascular Specialists. NEJM 335: 251-256 [Abstract] [Full Text]  
• Ellis, S. G., Omoigui, N., Bittl, J. A., Lincoff, M., Wolfe, M. W., Howell, G., Topol, E. J. (1996). Analysis and Comparison of Operator-Specific Outcomes in Interventional Cardiology : From a Multicenter Database of 4860 Quality-Controlled Procedures. Circulation 93: 431-439 [Abstract] [Full Text]  
• Omoigui, N. A., Miller, D. P., Brown, K. J., Annan, K., Cosgrove, D. III, Lytle, B., Loop, F., Topol, E. J. (1996). Outmigration For Coronary Bypass Surgery in an Era of Public Dissemination of Clinical Outcomes. Circulation 93: 27-33 [Abstract] [Full Text]  
• Kouchoukos, N. T. (1995). Quality Initiatives and the Power of the Database: Where We Stand. Ann. Thorac. Surg. 60: 1526-1529 [Abstract] [Full Text]  
• Epstein, A. (1995). Performance Reports on Quality -- Prototypes, Problems, and Prospects. NEJM 333: 57-61 [Full Text]  
• Brand, D. A., Quam, L., Leatherman, S. (1995). Medical Practice Profiling: Concepts and Caveats. Med Care Res Rev 52: 223-251 [Abstract]  
• Green, J., Wintfeld, N. (1995). Report Cards on Cardiac Surgeons -- Assessing New York State's Approach. NEJM 332: 1229-1233 [Full Text]  
• Wartman, S. A. (1994). Managed Care and Its Effect on Residency Training in Internal Medicine. Arch Intern Med 154: 2539-2544 [Abstract]  
• Kassirer, J. P. (1994). Access to Specialty Care. NEJM 331: 1151-1153 [Full Text]  
• Iglehart, J. K. (1994). Physicians and the Growth of Managed Care. NEJM 331: 1167-1171 [Full Text]  
• Masdeu, J. C., Lossing, J. H., Wears, R. L., Welch, H. G., Miller, M. E., Welch, W. P., Kassirer, J. P. (1994). Practice Profiles. NEJM 331: 201-203 [Full Text]  
• Knudtsen, J. A., Rasch, J. R., Capriotti, T., Irvine, P. W., Matz, R., Zuger, A., Rubin, D. E., Bloom, J. M., Kassirer, J. P. (1994). Nurse Practitioners in Primary Care. NEJM 330: 1537-1540 [Full Text]