Does Quality Matter?


As you know, I have droned on and on about quality.  I have hammered the powers that be about it because it is indefinable.  It is in the eye of the beholder.  Unfortunately, that has not stopped the idiots in the gov’t, insurance companies, and the hospitals from using it as a way to penalize or bonus doctors.   Don’t get me wrong, it is always important to improve the system but show me some proof that using “quality” indicators has ever done that.  Here is a new study showing exactly what I am talking about.   The authors of a study in the Annals of Family Medicine state:

“Although there are associations between clinical quality and measures of patient experience, the two domains of care quality remain predominantly distinct,” the authors write.

In other words, there is little correlation between quality of care assessed by clinical measures versus by patient experience.  Bring that to your administrators.  See how quickly they ignore it.  And then keep pressing.    Your survival, as a doctor, depends on it.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Does Quality Matter?

  1. Gerald A. Shubs, M.D.
    September 29, 2013 at 3:08 pm

    The problem is that we, as physicians and healers lost control of the practice of medicine in the 1990s and became progressively marginalized. Unless and until we have control of what we do and how we do it (yes, we used to enjoy these privileges), we will become unnecessary. Boutique practices and refusal to participate in ANY third-party reimbursements are the current defenses. By law, we are not allowed to organize or form groups of opposition to being dominated by non-treating administrators and their like. We allowed it to happen. How can we become whole, again? Does anybody remember what being a doctor is?

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