Discuss the most important principles in provider profiling

Discuss the most important principles in provider profiling and their most common problems?

Solution

provider profiling is an attempt to measure the performance of doctors and providers of health care by supplying interested parties with information on the structure, process, and outcomes of health care. its rationale is that analysing patterns of care will help to reduce the variation in performance among doctors and lead to improvements in the quality of health care.

two main types of profiling are used in the United States; Clinical profiling examines doctors\' styles of practice by looking at the types of treatment and services that they use and the outcomes of care. Economic profiling examines the financial aspects of a doctor\'s practice.

profiling should provide doctors with meaningful information on their clinical performance to help improve the quality of the services they provide. however, purchasers have largely developed physician profiling as a tool to control costs and ensure they are getting value for money, rather than as a method of measuring and improving the quality of care.

Profiling has also been used for other purposes, including providing information to consumers to help in their selection of physician and healthcare plan. it is the most difficult probem in profiling, the quality of the data and based on the date only the doctors will takes decision. date duplication and not availability is the two problems.