At one of my recent talks, a doctor expressed his concern with the evolution of systems that will begin rating the quality of doctors. He described how if a very sick patient is transferred to his care and the patient dies—for reasons totally beyond the doctor’s control—it would cause his quality score to look very poor. I empathize with his concerns. Assessing the quality of doctors’ treatment results will be highly dependent on the ability to control for the baseline severity of patients’ illnesses—what is called “risk adjustment.” With the complexity of human physiology, psychology, and sociology, it will be very difficult to adjust for the impact of those characteristics on doctors’ results.
DrScore reports how happy patients are with their doctors. Are these patient satisfaction ratings equally difficult to interpret? While there may be some variation in the population at how likely a patient would give a 10 or a 0 on a rating scale, overall, patients are accurate reporters of how satisfied they are. And whether patients have a mild disease or a severe one, if they have family support or they don’t, if they take their medications well or not, or if they have a host of other co-morbid illnesses or are otherwise well, they should still have an experience with their doctor that leaves them satisfied with the care they are getting.