Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998
To the Editor.—While sympathetic to the
idea of physicians evaluating health plans, we note that the findings of Dr
Borowsky and colleagues1 highlight some
of the difficulties that are yet to be overcome if such ratings are to be
helpful to consumers and purchasers. If the purpose of comparative physician
ratings is to assist consumers in understanding differences between managed
care health plans, such "report cards" must account for a wide variety of
potential bias. These confounding variables include not only physician differences,
but also differences in patients, in medical groups, and in the characteristics
of the local community. Each of these might influence either physician attitudes
toward, or actual physician experience with, health plans. An especially problematic
confounder arises when physicians have a strong relationship with the health
plan as a partner or an employee.
Rich EC, Kralewski J. Physicians' Ratings of Health Plans. JAMA. 1998;279(3):193–194. doi:10.1001/jama.279.3.193
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