Year: 2008
Type: letter
Abstract: To the Editor: Doran et al. (July 17 issue)1 found low rates of exception reporting among family practices in England and conclude that there is little evidence of gaming in the pay-for-performance system. The authors did not have access to the reasons for exception reporting. This finding may allay fears of misuse of exceptions while heightening concern that capturing rare events adds an unnecessary data-collection burden. Some incorrectly may assume that all exception data are lost to inquiry. In fact, exceptions should be captured, categorized, and reported to delineate appropriate and inappropriate variations in care. Exceptions flag important clinical conditions . . .
Source: New England Journal of Medicine
DOI: 10.1056/nejmc081751
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2025832720