Report Card Returns

An unsatisfactory report card.

The web site http://www.cushings-help.com/ side_effects.htm made for some interesting and challenging reading. The first section reads: ÔSide effects of steroid therapy considered acceptable and expected by the prescriber (though not by the patient!)Õ. That is quite an indictment against us as clinicians, but is it accurate? Regrettably, not only is the statement correct, but as evidenced elsew...

Alternative explanations for poor report card performance.

CONTEXT Many managed care organizations grade physician groups with "report cards" developed from administrative data sets and chart reviews. OBJECTIVE To investigate the accuracy of five report cards on a single group practice. DESIGN Determination of report card accuracy by using the practice capitation list and a review of the patients' medical records. SETTING Academic practice in Phi...

Environmental health: the global report card, 1994.

The metabolism-induced binding of 14C-labelled misonidazole (MISO) to hypoxic V79 cells in multicell spheroids has been quantitated using autoradiography. Hypoxia was shown to be the major determinant of the rate of binding. Maximally hypoxic cells bound MISO several times more rapidly than necrotic material in the centre of the spheroids, and up to 50 times more rapidly than well oxygenated ce...

Medicare+Choice: an interim report card.

While the aim of Medicare+Choice (M+C) was to expand choice, the choices available to Medicare beneficiaries have diminished since its inception: Existing plans have withdrawn from M+C, few new plans have entered the program from among the newly authorized plan types, greater choice has not developed in areas that lacked choice, and the inequities in benefits and offerings between higher- and l...

Treatment of hypertension: a failing report card.