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January 5, 2000

Unreliability of Physician "Report Cards" to Assess Cost and Quality of Care

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(1):51-54. doi:10-1001/pubs.JAMA-ISSN-0098-7484-283-1-jbk0500

To the Editor: Dr Hofer and colleagues1 carefully analyzed data from the diabetes Patient Outcome Research Team (PORT) to assess the validity and reliability of individual physician practice profiles. Both the study authors and Dr Bindman,2 in his editorial, argue that individual physician variation explains a small proportion of variation in profile measures and suggest that efforts to expand profiling should proceed with caution.

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