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Influence of Patient Education on Profiles of Physician Practices

Kevin Fiscella, MD, MPH; and Peter Franks, MD
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From University of Rochester School of Medicine and Dentistry, Rochester, New York.

Grant Support: From the Agency for Health Care Policy and Research (R01 HS09397-01).

Requests for Reprints: Kevin Fiscella, MD, MPH, Family Medicine Center, 885 South Avenue, Rochester, NY 14620. For reprint orders in quantities exceeding 100, please contact the Reprints Coordinator; phone, 215-351-2657; e-mail, reprints@mail.acponline.org.

Current Author Addresses: Drs. Fiscella and Franks: Family Medicine Center, 885 South Avenue, Rochester, NY 14620.

Ann Intern Med. 1999;131(10):745-751. doi:10.7326/0003-4819-131-10-199911160-00005
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The widespread implementation of managed care in the United States has called attention to the quality of the health care delivered by health maintenance organizations (HMOs) and their participating providers (1). Quality indicators are often seen in HMO report cards (24) or physician profiles (5), which usually include a measure of patient satisfaction and a combination of process and outcome measures. Recently, interest has developed in using various health status measures to evaluate the performance of HMOs and providers (78). For example, the Health Care Financing Administration's Health of Seniors program has begun to use the Medical Outcomes Study Short Form 36-Item Health Survey (SF-36) to assess changes in the physical and mental health status of elderly patients enrolled in HMOs across the United States (9).

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Figure 1.
Relation between mean education level of patients and effect of adjustment for patient education on physician rank for patient physical health status.
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Figure 2.
Relation between mean education level of patients and effect of adjustment for patient education on physician rank for patient mental health status.
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Summary for Patients

Patients' Education and Doctors' “Report Cards”

The summary below is from the full report titled “Influence of Patient Education on Profiles of Physician Practices.” It is in the 16 November 1999 issue of Annals of Internal Medicine (volume 131, pages 745-751). The authors are K. Fiscella and P. Franks.


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