A Physician Self‐Assessment Tool for Quality Improvement

Autor: Kahn, Linda S., Fox, Chester H., Berdine, Diane E., Krause‐Kelly, Julia, Raghu, Vijayalakshmi
Zdroj: Journal for Healthcare Quality; March 2007, Vol. 29 Issue: 2 p38-43, 6p
Abstrakt: Abstract: A physician self‐assessment (PSA) tool was evaluated as an alternative to full chart reviews to assess guideline adherence. PSAs, consisting of brief self‐report questionnaires, were developed for asthma management and mammography screening and were mailed to participating physicians in a partially capitated Medicaid managed care insurance program. A random chart audit was conducted at each practice site, and results were compared to the PSA responses. An 85% concordance was found between the asthma PSA and chart data, and an 88% concordance was found between the mammography PSA and chart data. These findings suggest that the PSA, combined with random chart audits, can be a viable alternative to full chart reviews.
Databáze: Supplemental Index