Measuring the Quality of Physician Practice by Using Clinical Vignettes: A Prospective Validation Study
Worldwide efforts are under way to improve the quality of clinical practice. Most quality measurements, however, are poorly validated, expensive, and difficult to compare among sites. To validate whether vignettes accurately measure the quality of clinical practice by using a comparison with standar...
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| Veröffentlicht in: | Annals of internal medicine Jg. 141; H. 10; S. 771 - 780 |
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| Hauptverfasser: | , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Philadelphia, PA
American College of Physicians
16.11.2004
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| ISSN: | 0003-4819, 1539-3704, 1539-3704 |
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| Abstract | Worldwide efforts are under way to improve the quality of clinical practice. Most quality measurements, however, are poorly validated, expensive, and difficult to compare among sites.
To validate whether vignettes accurately measure the quality of clinical practice by using a comparison with standardized patients (the gold standard method), and to determine whether vignettes are a more or less accurate method than medical record abstraction.
Prospective, multisite study.
Outpatient primary care clinics in 2 Veterans Affairs medical centers and 2 large, private medical centers.
144 of 163 eligible physicians agreed to participate, and, of these, 116 were randomly selected to see standardized patients, to complete vignettes, or both.
Scores, expressed as the percentage of explicit quality criteria correctly completed, were obtained by using 3 methods.
Among all physicians, the quality of clinical practice as measured by the standardized patients was 73% correct (95% CI, 72.1% to 73.4%). By using exactly the same criteria, physicians scored 68% (CI, 67.9% to 68.9%) when measured by the vignettes but only 63% (CI, 62.7% to 64.0%) when assessed by medical record abstraction. These findings were consistent across all diseases and were independent of case complexity or physician training level. Vignettes also accurately measured unnecessary care. Finally, vignettes seem to capture the range in the quality of clinical practice among physicians within a site.
Despite finding variation in the quality of clinical practice, we did not determine whether poorer quality translated into worse health status for patients. In addition, the quality scores are based on measurements from 1 patient-provider interaction. As with all other scoring criteria, vignette criteria must be regularly updated.
Vignettes are a valid tool for measuring the quality of clinical practice. They can be used for diverse clinical settings, diseases, physician types, and situations in which case-mix variation is a concern. They are inexpensive and easy to use. Vignettes are particularly useful for comparing quality among and within sites and may be useful for longitudinal evaluations of interventions intended to change clinical practice. |
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| AbstractList | Worldwide efforts are under way to improve the quality of clinical practice. Most quality measurements, however, are poorly validated, expensive, and difficult to compare among sites. Using a comparison with standardized patients, Peabody et al validate whether vignettes accurately measure the quality of clinical practice and determine whether vignettes are a more or less accurate method than medical record abstraction. Worldwide efforts are under way to improve the quality of clinical practice. Most quality measurements, however, are poorly validated, expensive, and difficult to compare among sites.BACKGROUNDWorldwide efforts are under way to improve the quality of clinical practice. Most quality measurements, however, are poorly validated, expensive, and difficult to compare among sites.To validate whether vignettes accurately measure the quality of clinical practice by using a comparison with standardized patients (the gold standard method), and to determine whether vignettes are a more or less accurate method than medical record abstraction.OBJECTIVETo validate whether vignettes accurately measure the quality of clinical practice by using a comparison with standardized patients (the gold standard method), and to determine whether vignettes are a more or less accurate method than medical record abstraction.Prospective, multisite study.DESIGNProspective, multisite study.Outpatient primary care clinics in 2 Veterans Affairs medical centers and 2 large, private medical centers.SETTINGOutpatient primary care clinics in 2 Veterans Affairs medical centers and 2 large, private medical centers.144 of 163 eligible physicians agreed to participate, and, of these, 116 were randomly selected to see standardized patients, to complete vignettes, or both.PARTICIPANTS144 of 163 eligible physicians agreed to participate, and, of these, 116 were randomly selected to see standardized patients, to complete vignettes, or both.Scores, expressed as the percentage of explicit quality criteria correctly completed, were obtained by using 3 methods.MEASUREMENTSScores, expressed as the percentage of explicit quality criteria correctly completed, were obtained by using 3 methods.Among all physicians, the quality of clinical practice as measured by the standardized patients was 73% correct (95% CI, 72.1% to 73.4%). By using exactly the same criteria, physicians scored 68% (CI, 67.9% to 68.9%) when measured by the vignettes but only 63% (CI, 62.7% to 64.0%) when assessed by medical record abstraction. These findings were consistent across all diseases and were independent of case complexity or physician training level. Vignettes also accurately measured unnecessary care. Finally, vignettes seem to capture the range in the quality of clinical practice among physicians within a site.RESULTSAmong all physicians, the quality of clinical practice as measured by the standardized patients was 73% correct (95% CI, 72.1% to 73.4%). By using exactly the same criteria, physicians scored 68% (CI, 67.9% to 68.9%) when measured by the vignettes but only 63% (CI, 62.7% to 64.0%) when assessed by medical record abstraction. These findings were consistent across all diseases and were independent of case complexity or physician training level. Vignettes also accurately measured unnecessary care. Finally, vignettes seem to capture the range in the quality of clinical practice among physicians within a site.Despite finding variation in the quality of clinical practice, we did not determine whether poorer quality translated into worse health status for patients. In addition, the quality scores are based on measurements from 1 patient-provider interaction. As with all other scoring criteria, vignette criteria must be regularly updated.LIMITATIONSDespite finding variation in the quality of clinical practice, we did not determine whether poorer quality translated into worse health status for patients. In addition, the quality scores are based on measurements from 1 patient-provider interaction. As with all other scoring criteria, vignette criteria must be regularly updated.Vignettes are a valid tool for measuring the quality of clinical practice. They can be used for diverse clinical settings, diseases, physician types, and situations in which case-mix variation is a concern. They are inexpensive and easy to use. Vignettes are particularly useful for comparing quality among and within sites and may be useful for longitudinal evaluations of interventions intended to change clinical practice.CONCLUSIONSVignettes are a valid tool for measuring the quality of clinical practice. They can be used for diverse clinical settings, diseases, physician types, and situations in which case-mix variation is a concern. They are inexpensive and easy to use. Vignettes are particularly useful for comparing quality among and within sites and may be useful for longitudinal evaluations of interventions intended to change clinical practice. Worldwide efforts are under way to improve the quality of clinical practice. Most quality measurements, however, are poorly validated, expensive, and difficult to compare among sites. To validate whether vignettes accurately measure the quality of clinical practice by using a comparison with standardized patients (the gold standard method), and to determine whether vignettes are a more or less accurate method than medical record abstraction. Prospective, multisite study. Outpatient primary care clinics in 2 Veterans Affairs medical centers and 2 large, private medical centers. 144 of 163 eligible physicians agreed to participate, and, of these, 116 were randomly selected to see standardized patients, to complete vignettes, or both. Scores, expressed as the percentage of explicit quality criteria correctly completed, were obtained by using 3 methods. Among all physicians, the quality of clinical practice as measured by the standardized patients was 73% correct (95% CI, 72.1% to 73.4%). By using exactly the same criteria, physicians scored 68% (CI, 67.9% to 68.9%) when measured by the vignettes but only 63% (CI, 62.7% to 64.0%) when assessed by medical record abstraction. These findings were consistent across all diseases and were independent of case complexity or physician training level. Vignettes also accurately measured unnecessary care. Finally, vignettes seem to capture the range in the quality of clinical practice among physicians within a site. Despite finding variation in the quality of clinical practice, we did not determine whether poorer quality translated into worse health status for patients. In addition, the quality scores are based on measurements from 1 patient-provider interaction. As with all other scoring criteria, vignette criteria must be regularly updated. Vignettes are a valid tool for measuring the quality of clinical practice. They can be used for diverse clinical settings, diseases, physician types, and situations in which case-mix variation is a concern. They are inexpensive and easy to use. Vignettes are particularly useful for comparing quality among and within sites and may be useful for longitudinal evaluations of interventions intended to change clinical practice. |
| Author | Lee, Martin Jain, Sharad Glassman, Peter Hansen, Joyce Peabody, John W. Spell, Maureen Luck, Jeff |
| Author_xml | – sequence: 1 givenname: John W. surname: Peabody fullname: Peabody, John W. organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California – sequence: 2 givenname: Jeff surname: Luck fullname: Luck, Jeff organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California – sequence: 3 givenname: Peter surname: Glassman fullname: Glassman, Peter organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California – sequence: 4 givenname: Sharad surname: Jain fullname: Jain, Sharad organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California – sequence: 5 givenname: Joyce surname: Hansen fullname: Hansen, Joyce organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California – sequence: 6 givenname: Maureen surname: Spell fullname: Spell, Maureen organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California – sequence: 7 givenname: Martin surname: Lee fullname: Lee, Martin organization: From San Francisco Veterans Affairs Medical Center, Institute for Global Health, University of California, San Francisco, and California Pacific Medical Center, San Francisco, California; University of California, Los Angeles, Veterans Affairs Greater Los Angeles Healthcare System, and Permanente Medical Group, Los Angeles, California; RAND, Santa Monica, California; and Veterans Affairs Center for the Study of Healthcare Provider Behavior, Sepulveda, California |
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| Title | Measuring the Quality of Physician Practice by Using Clinical Vignettes: A Prospective Validation Study |
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