interesting article on rating doctor-patient communications

Tom Benzoni benzonit at GMAIL.COM
Tue Aug 28 18:38:58 UTC 2018


That's the conclusion we're supposed to reach.
So where might the conclusion be wrong; can we dis-enthrall ourselves of
the expected conclusion?
Where is the cognitive debiasing here?
There is extensive literature on "perceived authority is greater than
actual."
I'm assuming we're willing to posit the authorities authority here.
Should we? We've made that error before.

tom

(It's ok to say I'm being an anarchistic here. I've just know too many
"authorities" who aren't.)


On Tue, Aug 28, 2018 at 1:24 PM John Brush <jebrush at me.com> wrote:

> 63% of the patients gave their provider a 100% rating, which shows that
> either they weren’t very discerning, or were biased, or were maybe just
> quickly filling out the forms.
> Both the physicians and the experts had ratings that were a bell shaped
> curves, suggesting that they were trying to discern good from bad. Not
> surprisingly, physicians were easier on themselves than the experts.
> It raises questions about the reliability of patient evaluations of
> providers. Patients, of course, are the people who count, but they only
> have limited experience with a few doctors and don’t see the range of
> possibilities, so they may be less capable of reliable evaluations. Rating
> physicians, like anything, may improve with experience, but patients will
> usually have limited exposure to physicians.
> Patient satisfaction is obviously of paramount importance, but may not be
> a good measure for things like pay for performance.
> John
>
> John E. Brush, Jr., M.D., FACC
> Professor of Medicine
> Eastern Virginia Medical School
> Sentara Cardiology Specialists
> 844 Kempsville Road, Suite 204
> Norfolk, VA 23502
> 757-261-0700
> Cell: 757-477-1990
> jebrush at me.com
>
>
>
>
> On Aug 28, 2018, at 1:53 PM, Tom Benzoni <benzonit at GMAIL.COM
> <benzonit at gmail.com>> wrote:
>
> I'm really confused by this.
>
> IF:
> Perfect = 100 (top of scale)
> Patients scored their physicians = 94
> Physicians scored themselves = 75
> Experts scored the physicians = 57
> THEN:
> 1. Physicians are hard on themselves; they're doing pretty good.
> 2. Experts are out of touch.
> This brings into question whether experts are experts, given that the
> patients are the experts on communication.
>
> Help me out here.
>
> tom benzoni
>
>
> On Thu, Aug 23, 2018 at 11:20 PM David L Meyers <dm0015 at comcast.net>
> wrote:
>
>>
>> http://www.annfammed.org/content/16/4/330.full
>>
>> David
>> David L Meyers, MD FACEP
>> Listserv Moderator/Board member
>> Society to Improve Diagnosis in Medicine
>> www.improvediagnosis.org |
>> Save the Dates: Diagnostic Error in Medicine, November 4-6, 2018; New
>> Orleans, LA
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>> Melbourne, Australia
>>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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