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It shows up the dire consequences of not having a systematic approach for gauging the performance of practitioners and hospitals.
In England, it is recognised that the approach of the national regulatory body for pharmacy should be consistent with that of the regulators of other health professions, and focus on assuring the competence and performance of practitioners.
We encountered several logistical challenges in setting standards for referral letters and particularly in assessing the performance of practitioners in response to those standards.
This framework analyses the performance of practitioners, the contributions of patients and of the health care system; the social preferences of clients, and the causal linkages among the structural attributes of the settings in which care occurs, as well as the processes of care, and the outcomes of care.
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Any intellectual or creative practice is guided by a set of standards and heuristics about how to proceed, and "experts" evaluate the performances of practitioners based on their judgments of how well the practitioner meets the standards.
In other words if the care given fell below the current level of performance expected of practitioners or systems.
If this conclusion were upheld, closer performance management of practitioners may be one way of ensuring enhanced patient retention in the program.
Although some variance in patients' scores can be attributed to individual experiences (including personal expectation, outlook, and the variable performance of general practitioners between patients), some of the variance in patients' scores is likely to be attributable to general practitioners, with some doctors performing better, on average, than others.
Since there is a lack of cost-effectiveness data of CAM in the Netherlands, in this paper, we compare the performance of general practitioners who have completed certified additional training in CAM after obtaining their conventional medical degree (GP-CAMs) with general practitioners who have not (GPs).
But the report said that because of concerns about liability, hospitals, physician groups and H.M.O.'s "are reluctant to share information about the performance of individual practitioners".
One small field in medicine has been far ahead of most others in measuring the performance of its practitioners: cystic-fibrosis care.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com