Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 10112656

Effectiveness, accountability, and efficiency.

J G Kaplan
View original source ↗Export metadata ↓

Abstract

Management of health care is compromised by its singular reliance on billing information--i.e., a claims trail tells little of what providers think. It relates to neither prevention of disease nor reduction of unnecessary health care costs. Billing information is not the substrate to be used in the pursuit of appropriateness, effectiveness, and value. To improve medical management of health care, a protected, but accessible clinical database is needed.

Explore related subjects

Data CollectionData Interpretation, StatisticalHospital Information SystemsInsurance Claim ReportingMedical Records Systems, ComputerizedModels, TheoreticalOutcome and Process Assessment, Health CareUnited StatesJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

J G Kaplan. Effectiveness, accountability, and efficiency.. https://pubmed.ncbi.nlm.nih.gov/10112656/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2000

A specialist toxicity database (TRACE) is more effective than its larger, commercially available counterparts.

The retrieval precision and recall of a specialist bibliographic toxicity database (TRACE) and a range of widely available bibliographic databases used to identify toxicity papers were compared. The analysis indicated that the larger size and resources of the major bibliographic databases did not, for a series of test queries, assure superior retrieval of relevant papers. The specialist database, in which document selection and indexing is undertaken by the same expert toxicologists who use the database in their day-to-day work, achieved markedly better retrieval, using simpler search strategies, than the other databases. Specialist databases may offer a valuable alternative to the existing major bibliographic databases. The concept of relevance, as used to determine the effectiveness of bibliographic databases, is discussed.

Data Collection↗
PubMed2000

Demographic characteristics of US medical school admission committees.

CONTEXT: Although concerns continue to be raised about the diversity of the US physician workforce, there has never been a nationwide survey of both the sex and underrepresented minority (URM) composition of medical school admission committees. OBJECTIVE: To document US medical school admission committee membership in several demographic domains, including sex and URM (African American, Mexican American, mainland Puerto Rican, Native American, Native Hawaiian, and Native Alaskan) status. DESIGN: Mailed survey. SETTING AND PARTICIPANTS: Deans or directors of admission at 85 US medical schools that were members of the Association of American Medical Colleges (response rate, 70%). MAIN OUTCOME MEASURES: Prevalence of 1999-2000 school-year committee members in demographic categories, such as sex, URM status, physician or medical student status; compensation status. RESULTS: The overall ratio of men to women on admission committees was 1.77 to 1. On average, 16% of committee members were from URM groups. Physicians with URM status comprised 8% of committee membership; 51% of committees had 1 or 0 URM physicians. Seventy-four percent of committees had at least 1 medical student; medical students comprised 15% of total membership. Ninety-one percent of committees operated on a volunteer basis. CONCLUSION: Although representation of women and persons with URM status on medical school admission committees has improved since 1972, URM membership, in particular, remains low. JAMA. 2000;284:1111-1113

Data Collection↗