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December 24/31, 2003

Uses of Published Physician Performance Data

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(24):3194-3195. doi:10.1001/jama.290.24.3194-a

To the Editor: Dr Landon and colleagues1 described a number of difficulties with the use of clinical outcomes to assess physicians' competence. We agree with their conclusion that clinical performance assessment for this purpose currently is not feasible.

Although Landon et al described "tension" between the use of performance measurement for global quality improvement (QI) vs individual performance assessment, we think that this could be resolved through a clearer understanding of the role of such data. Thus, on behalf of the Physician Consortium for Performance Improvement, convened by the American Medical Association,2 we propose a greater consensus for the use of such measurement for QI. This proposal will require an overall electronic infrastructure to ensure data integrity.

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