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January 5, 2000

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

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

In Reply: All the correspondents share at least 1 theme: there is important information about physician practice patterns in measures of utilization and quality, if only we could find it.

Dr Huff suggests that because our study preceded definitive evidence supporting intensive glucose control, physicians would have had less reason to try to influence glucose control than they would now. One can equally argue (as do those in the small-area variation field1) that when there is less consensus on treatment we should expect to find more provider variation.

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