Physician Profiling: Background and Practical Experience
Author: Kenneth J. Pechman, MD, PhD, MMM
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Section one of the book looks at changes in the health care environment, changes in physician life-style expectations, and pressures that gave rise to the profiling of health care (and of physicians). After introducing the elements of a physician profile and exploring the process itself, section two explores some concerns about the use of profiling data in malpractice cases and in credentialing and about matters of confidentiality. The adequacy of data collection, cross-referencing of data sets, and various issues in data analysis conclude the section. The final section of the book relates the profiling experience of several different kinds of organizations-a teaching hospital, a multi-specialty medical group, a large medical health plan, a government organization, an academic center, and a pharmacy benefits plan.