Assessment and Remediation for Physicians With Suspected Performance Problems An International Survey

Assessment and Remediation for Physicians With Suspected Performance Problems An International Survey

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时间:2019-07-31

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1、OriginalResearchAssessmentandRemediationforPhysiciansWithSuspectedPerformanceProblems:AnInternationalSurveyCHARLOTTEHUMPHREY,PHDIntroduction:Littleisknownabouttheoverallappropriatenessandvalueofthevariousprogramsavailablein-ternationallyforassessmentandremediationforindividualphysicia

2、nswhoseperformanceintheirclinicalpracticehasbeenidentifiedasgivingcauseforconcern.Method:Aquestionnairewase-mailedtomembersoftheInternationalPhysiciansAssessmentCoalitionand/ortheCoalitionforPhysicianEnhancement—organizationsthatwerethoughttoprovidethistypeofassessment(n=20).Questions

3、coveredtheaims,organization,methods,andoutcomesofassessmentprogramsandassociatedremediation.Results:Responsescamefrom15regulatorybodies,universities,not-for-profits,andhealthserviceorganizationsin5countries.Theassessmentprogramsandremediationactivitiesidentifiedweresmallinscale.Theirf

4、ocusrangedfromanarrowconcernwithidentifyingandrepairingspecificknowledgeandskillsdeficitstoawiderinterestinthebiopsychosocialfunctioningofthephysicianasawhole.Both“diagnosis”and“treatment”ofproblemsfocusedontheindividualphysician.Lessattentionwasgiventobroadersystemsorcontextualfactor

5、sthatmightimpactperformance.Althoughprogressthroughremediationwascarefullymonitored,noneoftheprogramsun-dertookregularsystematicfollow-uptoascertainthesuccessoftheirinterventionsinthelongerterm.Discussion:Thisfieldofactivityischaracterizedbytheuseofsophisticatedmethodsformeasuringperf

6、ormance/competence,butprovisionofremediationismorepatchyandvariable.Thesmallscaleoftheseprogramsraisesquestionsabouttherelationshipbetweenscaleofprovisionandpotentialneedforremediation.Gapsininformationaboutimpactandoutcomesmeanthattheoverallimpactandvalueofthistypeofassessmentandreme

7、diationishardtodetermine.KeyWords:physician,performance,assessment,remediationIntroductionAreviewbyWilliams1foundarangefrom0.3%,basedonthenumberofphysiciansdisciplinedinayear,tonearlyThesafetyofpatientsdepends,amongotherthings,onthe50%,basedonthenumberwhodonotadheretotreatmentqualityo

8、fcare

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