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A Report Card for Report Cards

A. Russell Localio, JD, MPH, MS; and Bruce H. Hamory, MD
[+] Article, Author, and Disclosure Information

Pennsylvania State University College of Medicine Hershey, PA 17033 Requests for Reprints: A. Russell Localio, JD, MPH, MS, Center for Biostatistics and Epidemiology, Pennsylvania State University College of Medicine, P.O. Box 850, Hershey, PA 17033-0850. Current Author Addresses: Dr. Localio: Center for Biostatistics and Epidemiology, Pennsylvania State University College of Medicine, P.O. Box 850, Hershey, PA 17033-0850.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1995;123(10):802-803. doi:10.7326/0003-4819-123-10-199511150-00010
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Almost daily, we hear about the effects—present and predicted—of managed care on health in the United States. The ability of those who purchase or “manage” care to compare the performances of individual physicians and hospitals is dependent on systems that can effectively compare outcomes for different types of patients across physicians and hospitals. In this issue, Iezzoni and colleagues [1] show that four of the computer-based systems marketed to meet this need give different answers about severity of illness for the same patients.

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