In Reply: I appreciate Dr Stapczynski’s
comments and do not discount the perverse impact that poorly designed patient
satisfaction surveys linked to “pay for performance” plans may
have on physician behavior. He states that the 14% absolute difference in
satisfaction “may appear small to an academic physician.” Perhaps,
but while I have an academic appointment at Michigan State University, I see
patients 3 days a week in a small private practice, where my income depends
completely on how many patients I see and whether they pay their bills. To
paraphrase a recent president, I feel his pain.
Antibiotic Prescribing for Lower Respiratory Tract Infection—Reply. JAMA. 2005;294(16):2032. doi:10.1001/jama.294.16.2032-b
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