4 ms·
I spoke to a doctor about publishing statistics and the major concern with him and his peers was exactly what you mentioned. Riskier cases will make your statis
by jamra 8y ago
I spoke to a doctor about publishing statistics and the major concern with him and his peers was exactly what you mentioned. Riskier cases will make your statistics drop, but the more experienced doctors would almost always get the most difficult cases.
- candiodari 8y agoThat's not true ... after all, that would mean putting MBA type managers in charge of hospitals (like is being done all across the US) is going to lead to disastrously bad decisions as they will institute individual incentives. Giving those experienced doctors little choice : either refuse cases that might die ... or get fired.
- wahern 8y agoRight, which is why some experienced doctors can be overly conservative. The ones that take up the hard cases are therefore penalized even more. You see the same thing with lawyers. The ones with a 100% trial success rate are very choosy about which cases they accept or are more inclined to pressure clients to settle. The phenomenon is real. Whether it exists at the heart of this study or is simply being used to excuse underperforming doctors....
- fragmede 8y agoThat's sarcasm, right? Because that's what has happened, and been happening while healthcare in the US is treated as a for-profit enterprise.
- MarkMc 8y agoI wonder what the doctor thinks of publishing risk adjusted statistics. That is, publishing the difference between expected and actual outcome.