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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: Everyone agrees with the goal of improving the quality of health care. The question is how to do it. As these letters demonstrate, many support the use of physician profiling as a strategy. This approach is dependent on the belief that variation in health care utilization is a reflection of physicians' quality of care. The study by Dr Hofer and colleagues1 demonstrates that, at least for diabetes, this is simply not the case.

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