What question did this study set out to answer?

To examine whether publicly available physician characteristics, such as education, board certification, and malpractice history, predict performance on clinical quality measures.

September 13, 2010Archives of Internal MedicineOpen Access

Associations Between Physician Characteristics and Quality of Care

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To examine whether publicly available physician characteristics, such as education, board certification, and malpractice history, predict performance on clinical quality measures.
Calculated overall performance scores across 124 RAND Quality Assessment Tools measures for N=10,408 Massachusetts physicians using claims data from 1.13 million adult patients continuously enrolled in 4 commercial health plans (2004–2005).
Obtained physician demographic, education, board certification, and malpractice history from the Massachusetts Board of Registration in Medicine.
Assessed independent associations between physician characteristics and overall quality performance scores using multivariate linear regression.
The overall mean performance score across all physicians was 62.5% (5th to 95th percentile range, 48.2% to 74.9%).
Significantly higher performance scores were independently associated with female sex (+1.6 percentage points vs male; P < .001), board certification (+3.3 percentage points vs noncertified; P < .001), and graduation from a domestic medical school (+1.0 percentage points vs international; P < .001).
Physician malpractice claims history had no statistically significant association with clinical quality performance scores (P = .26).

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Implication

Cross-sectional study reveals weak associations between credentials and clinical quality among physicians, indicating public characteristics are poor proxies for care quality.

Cite This Study

Reid et al. (2010) studied this question.

synapsesocial.com/papers/6a1c38e400ee29383e9da37d https://doi.org/10.1001/archinternmed.2010.307

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Implication

Cross-sectional study reveals weak associations between credentials and clinical quality among physicians, indicating public characteristics are poor proxies for care quality.

Associations Between Physician Characteristics and Quality of Care

Key Points

Discussion

Implication

Cite This Study

Associations Between Physician Characteristics and Quality of Care

Key Points

Discussion

Implication

Cite This Study

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