Does Pay for Performance Measure Medical Quality?
- A surgeon advises against proceeding with surgery as he feels that in 48 hours recovery may begin.
- A pediatrician makes a series of phone calls to arrange for a social worker to become involved in a challenging home situation.
- A family physician tells a patient that a CAT scan is not necessary for his condition.
- An internist recognizes that a patient’s new symptom is a side effect of a recent medication, which he stops.
- An emergency room physician sees a patient with a cough and notices a suspicious mole on the patient’s back. He sends the patient to a dermatologist.
- A gastroenterologist carefully palpates a patient’s abdomen and discovers that the spleen is enlarged. This begins a path that leads to an unexpected diagnosis.
- An internist takes a thorough medical history letting a patient tell his story without rushing him or cutting off his responses.
- An oncologist doesn’t advise futile cancer treatment, even though it could be presented to the patient and family in a manner that they would accept it.
- A hospitalist communicates all relevant medical information, including unfinished or pending issues, to the internist who will be assuming care of the patient after hospital discharge.
- A psychiatrist saves a patient’s life who had contemplated ending it.
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