Table 3.
Level of Agreement between ETG-Mean Adjusted and Risk-Adjusted Cost Efficiency Rankings for Four Specialties, by Year
Risk Adjusted with One-Variable Regression Model | Risk Adjusted with Two-Variable Regression Model | Risk Adjusted with Dichotomized Model | ||||||
---|---|---|---|---|---|---|---|---|
Specilty* | Year | Number of physicions | Percent Cases in ETGs with R2>.025 (%)† | Weighted Kappa‡ | Percent Cases in ETGs with R2>.025 (%)† | Weighted κ‡ | Percent Cases in ETGs with R2>.025 (%)† | Weighted κ‡ |
Cardiology(N≥20) | 1999 | 4 | 0.0 | 1.00 | 0.0 | 1.00 | 0.0 | 1.00 |
2000 | 11 | 2.3 | 0.68 | 2.3 | 0.76 | 2.3 | 0.76 | |
2001 | 14 | 5.3 | 0.80 | 5.3 | 0.80 | 5.3 | 0.90 | |
2002 | 11 | 0.7 | 0.87 | 0.7 | 0.87 | 0.7 | 0.87 | |
Family Practice(N≥125) | 1999 | 18 | 14.6 | 0.88 | 14.6 | 0.88 | 0.0 | 0.88 |
2000 | 30 | 15.9 | 0.69 | 15.9 | 0.65 | 3.0 | 0.64 | |
2001 | 41 | 14.4 | 0.75 | 14.4 | 0.70 | 2.9 | 0.75 | |
2002 | 45 | 13.9 | 0.80 | 13.9 | 0.76 | 0.7 | 0.80 | |
General Surgery(N≥25) | 1999 | 2 | 25.9 | 1.00 | 25.9 | 1.00 | 25.9 | 1.00 |
2000 | 9 | 14.6 | 0.94 | 14.6 | 0.94 | 14.6 | 0.94 | |
2001 | 9 | 9.6 | 0.94 | 9.6 | 0.94 | 9.6 | 0.94 | |
2002 | 9 | 14.2 | 1.00 | 14.2 | 1.00 | 14.2 | 1.00 | |
Neurology(N≥25) | 1999 | 4 | 1.1 | 1.00 | 1.1 | 1.00 | 1.1 | 1.00 |
2000 | 10 | 6.2 | 0.70 | 7.7 | 0.70 | 6.2 | 0.70 | |
2001 | 11 | 3.5 | 0.97 | 5.0 | 0.97 | 3.2 | 0.97 | |
2002 | 11 | 2.7 | 0.76 | 3.0 | 0.76 | 1.4 | 0.76 |
N refers to minimum number of episodes required for physician profiles.
Full sample estimation R2 values.
Measuring level of agreement between risk-adjusted rankings and ETG-mean adjusted rankings.
ETG, episode treatment group.