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The nature, content and interpractice variation of general practice: A regional study in Italy

✍ Scribed by F. Taroni; R. Siass; G. Traversa; R. Raschetti; F. Menniti-Ippolito; M. Maggini; S. Spila-Alegiani

Publisher: Springer
Year: 1990
Tongue: English
Weight: 566 KB
Volume: 6
Category: Article
ISSN: 0393-2990
DOI: 10.1007/bf00150439

No coin nor oath required. For personal study only.

✦ Synopsis

The activity of 34 general practitioners (GP) working in solo practices in six Local Health Units were assessed, as a preliminary step of a main study, to evaluate and possibly improve the quality of GP professional performance using peer review and feed-back information. A wide interpractice variation was observed in patient visit and patient visiting rates, drug and test prescribing, in-and out-patient referrals, as well as in the composition of the practice case-mix. The extent of interpractice variation for relevant actions in the process of care was unchanged after adjusting for case-mix, suggesting that case-mix differences have little effect in explaining differences among physicians' overall pattern of care and health care resource consumptions.

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