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Correspondence
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Volume 336:442-443 February 6, 1997 Number 6
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Cardiac-Surgery Performance Reports

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 by Greco, P. J.
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 by Schneider, E. C.
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To the Editor: In their examination of the influence of cardiac-surgery performance reports on referral practices and access to care, Schneider and Epstein (July 25 issue)1 note, "Now, employers, patients, and insurers are all pressing for more and better publicly released data on outcomes and other indicators of the quality of care to guide a comparative evaluation of physicians, hospitals, and health plans." However, they studied only the effects of the Pennsylvania Consumer Guide to Coronary Artery Bypass Graft Surgery 2,3,4,5 on cardiovascular specialists and ignored the very groups that they say are demanding and using the "report cards" — employers, . . . [Full Text of this Article]

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