Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
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.
Bindman AB. Unreliability of Physician "Report Cards" to Assess Cost and Quality of Care—Reply. JAMA. 2000;283(1):51-54. doi:10-1001/pubs.JAMA-ISSN-0098-7484-283-1-jbk0500