Table 2.
Physician Survey Responses (N = 142)
| Pre-Profiled Attendings n (%) n = 38 | Profiled Attendings n (%) n = 36 | Pre-Profiled Senior Residents n (%) n = 37 | Profiled Senior Residents n (%) n = 31 | |
| ENJOYMENT OF WARD MONTH – AGREED THAT: | ||||
| "I greatly enjoyed my most recent ward month" | 34 (89) | 32 (89) | 31 (84) | 25 (81) |
| QUALITY OF CARE – AGREED THAT: | ||||
| "I was very involved in the day-to-day care of the patients on my service." | 34 (89) | 30 (83) | ||
| "My attending was very involved in all important patient care decisions." | 23 (62) | 12 (39) | ||
| "I allowed my residents considerable autonomy in patient care decisions." | 38 (100) | 35 (97) | ||
| "My attending allowed me considerable autonomy in making patient care decisions." | 32 (86) | 29 (94) | ||
| "My ward team provided extremely high quality care to our patients." | 37 (97) | 33 (92) | ||
| "I provided extremely high quality care to my patients." | 33 (89) | 28 (90) | ||
| FEELINGS ABOUT PROFILING | ||||
| "How do you think you would feel about being 'profiled?'?" OR "How did you feel about being 'profiled?"' | ||||
| Positive | 11 (29) | 6 (17) | ||
| Indifferent | 10 (26) | 20 (56) | ||
| Negative | 17 (45) | 10 (28)* | ||
| PERCEPTION OF PROFILING EFFECT ON PATIENT CARE – AGREED THAT: | ||||
| "In general, being 'profiled' will cause most physicians to discharge some patients earlier than they would have normally." | 13 (34) | 3 (8)* | ||
| "In general, being 'profiled' will cause most physicians to decrease the ordering of some tests and/or procedures." | 17 (46) | 5 (14)* | ||
| PROFILING EFFECT (QUESTIONS ASKED ONLY OF PHYSICIANS WHO WERE PROFILED) | ||||
| Reported that they tried "to become more involved than usual in the care of the patients on [their] service during their profiling month. | 16 (46) | |||
| Agreed that "being 'profiled' caused me to discharge some patients earlier than I would have normally." | 0 (0) | |||
| Agreed that "I sometimes felt pressured to discharge a patient from the hospital prematurely." | 2 (6) | |||
| "Did you try to decrease your patients' lengths' of stay?" Responded "Yes:" | 5 (14) | |||
| Agreed that "being 'profiled' caused me to decrease the ordering of some tests and/or procedures." | 0 (0) | |||
| Agreed that "I sometimes felt pressured not to use certain ancillary tests/services." | 0 (0) | |||
| "Did you try to decrease ordering of tests and procedures?" Responded "Yes:" | 4 (11) |
*p <.05 for differences between physician groups