Should performance indicators in general practice relate to whole practices or to individual doctors?

M O Roland, J Middleton, B Goss, A T Moore
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Abstract

In a study of referrals to East Anglian hospitals 737 referrals in six specialties from three general practices were examined to see how accurately the hospital computer master index had identified the referring practice, the referring general practitioner and the doctor with whom the patient was registered. Although the practice was accurately identified by the hospital computer in 97% of referrals, the identification of the referring doctor and the patient's registered general practitioner were less reliable (72% and 49% respectively). It is concluded that at present the practice rather than the individual doctor may be the appropriate unit of analysis for studies of general practitioners' referral rates. This may be true for other performance indicators where information on a doctor's case mix and workload is not available. The results of this study emphasize that problems may arise if data relating to individual general practitioners are interpreted out of context of the practice and the way in which it is organized.

全科实践的绩效指标应该与整个实践有关还是与个别医生有关?
在一项对东安格利亚医院转诊的研究中,研究人员检查了来自三个全科诊所的六个专业的737个转诊,以了解医院计算机主索引识别转诊诊所、转诊全科医生和患者注册的医生的准确性。虽然医院计算机在97%的转诊中准确地识别了这种做法,但转诊医生和患者注册全科医生的识别可靠性较低(分别为72%和49%)。结论是,目前的做法,而不是个别医生可能是适当的单位分析全科医生的转诊率的研究。对于无法获得医生病例组合和工作量信息的其他绩效指标,这可能是正确的。这项研究的结果强调,如果与个体全科医生有关的数据被解释为脱离实践的背景和组织方式,可能会出现问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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