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From: Padhraig Ryan [mailto:[log in to unmask]]
Sent: 29 July 2011 19:22
To: Oliver,AJ
Subject: AAHPN
Interesting findings from a single payer setting (Canada):
""There was a 95% (52 of 55 cardiac surgeons) survey response
rate..... The majority of surgeons believed that performance reports
influenced cardiologist referrals (84%) and patient choices (80%). A
minority (48%) of surgeons believed that the reporting of in-hospital
mortality was very or extremely useful, but a majority (83%) believed
mortality rates indicated the relative performance of a cardiac
surgeon. The majority of surgeons believed that routine upcoding of
data (84%) and inadequate risk adjustment (75%) were weaknesses of
present performance reports. Surgeons were divided regarding whether
the institutional performance should continue to be publicly reported
(51% agreed with public reporting).""
Guru, V., C. D. Naylor, et al. (2009). "Publicly reported provider
outcomes: The concerns of cardiac surgeons in a single-payer system."
The Canadian Journal of Cardiology 25(1): 33.
Best,
Padhraig
--
Padhraig Ryan
Health Policy & Management,
Trinity College Dublin.
Office: +353-(0)1-8962762
Mobile: +353-(0)85-1044254
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