Navigation Links
Researchers investigate differences in quality of care delivered by US resident and staff physicians
Date:9/21/2010

Research on the quality of US resident physician performance levels has often been limited by lack of a comparison group or strict focus on specific diseases and geographical areas. In order to gain insight on differences in quality of care provided by resident physicians versus staff physicians, Boston Medical Center (BMC) and Palo Alto Medical Foundation researchers investigated performance of physicians in 33,900 hospital-based outpatient visits throughout the US.

The researchers collected data from the 1997-2004 National Hospital Ambulatory Medical Care Survey and separated patient visits to resident and staff physicians. To monitor performance in multiple areas of common primary care they created 19 quality indicators that fell into five categories: medical management of chronic diseases; appropriate antibiotic use; preventative counseling; screening tests; and inappropriate prescribing in elderly patients. Performance quality was calculated as the percentage of eligible visits that received recommended care as defined in practice guidelines and consensus expert statements. Statistical analyses were performed after the mean performance rates of staff and residents were calculated for each quality indicator.

Results indicate that resident physicians were more likely to care for younger, non-white, female and urban patients, as well as patients with Medicaid. They also indicate that residents outperformed staff physicians on four measures of quality: ACE inhibitor use for congestive heart failure (57.0 vs. 27.6%); diuretic use for hypertension (57.8% vs. 44.0%); statin use for hyperlipidemia (56.3% vs. 40.4%); and routine blood pressure screenings (85.3% vs. 79.6%). All physicians performed at similar levels on the remaining 15 performance indicators.

"This study highlights the significant opportunity that remains to improve quality of outpatient care in the United States," said author Karen E. Lasser, MD, MPH, an associate professor of medicine at BUSM and staff physician at BMC. "Quality improvement interventions that address specific barriers at the system, provider, and patient level are necessary in order to reduce the discrepancy between clinical practice and best evidence." These findings appear in the Journal of General Internal Medicine online.


'/>"/>

Contact: Nathan Bliss
nathan.bliss@bmc.org
617-638-8490
Boston University Medical Center
Source:Eurekalert

Related medicine news :

1. UNC researchers identify genetic patterns that may predict osteoarthritis
2. Mayo-led researchers discover genetic variants modifying breast cancer risk
3. Rutgers researchers discover how HIV resists AZT
4. Researchers at SUNY Downstate find drug combination may treat traumatic brain injury
5. Do the math, say UCLA researchers
6. MIT researchers discover an unexpected twist in cancer metabolism
7. OHSU researchers able to determine brain maturity through analyzing MRI scans
8. Lung cancer culprit could offer target for therapy, UT Southwestern researchers report
9. Researchers Develop Touch-Sensitive e-Skin
10. NYU researchers identify new neurological deficit behind lazy eye
11. SWOG names 5 cancer researchers outstanding Young Investigators
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... ... Bruton Memorial Library on June 21 due to a possible lice infestation, as reported by ... lice: the parasite’s ability to live away from a human host, and to infest common ... the event that lice have simply gotten out of control. , As lice are a ...
(Date:6/25/2016)... ... 2016 , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland ... iHire in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness ... & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of ...
(Date:6/24/2016)... ... ... Marcy was in a crisis. Her son James, eight, was out of control. Prone to ... , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there ... my other children and say he was going to kill them. If we were ...
(Date:6/24/2016)... ... 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join ... wage raise to $12 an hour by 2020 and then adjusting it yearly to increase ... of the minimum wage, assure the wage floor does not erode again, and make future ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... actively feeding the Frederick area economy by obtaining investment capital for emerging technology ... past 2½ years that have already resulted in more than a million dollars ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Research and Markets has announced the addition of the ... to their offering. ... World Market for Companion Diagnostics covers the world market for ... report includes the following: , World IVD ... (N. America, EU, ROW), 2015-2020 , World IVD Companion ...
(Date:6/24/2016)...  Arkis BioSciences, a leading innovator in the ... cerebrospinal fluid treatments, today announced it has secured ... led by Innova Memphis, followed by Angel Capital ... Arkis, new financing will accelerate the commercialization of ... of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... , June 23, 2016 ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, ... Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast to ... The global pharmaceutical excipients market ... at a CAGR of 6.1% in the forecast period ...
Breaking Medicine Technology: