The office practices of 918 physicians selected through stratified random sampling from the College of Physicians and Surgeons of Ontario (CPSO) registry were assessed by peers and the Peer Assessment Committee of the CPSO from 1981 to 1985. The sample comprised 662 general practitioners (GPs) and family physicians (FPs) and 256 specialists in 11 fields. Of the physicians 749 (82%) had neither deficient records nor an unsatisfactory level of patient care. Of the GPs and FPs 97 (15%) had serious deficiencies in one or both areas, as compared with 4 (2%) of the specialists (p2 less than 0.00001). The proportions of certificants of the Royal College of Physicians and Surgeons of Canada and of the College of Family Physicians of Canada (CFPC) with serious deficiencies were low (2% and 3% respectively). Three statistically significant predictors of physician performance were found among the GPs and FPs: age, CFPC membership status and type of practice. Of the 56 physicians who were reassessed 6 to 12 months later 29 (52%) had made the improvements recommended by the committee. Our findings demonstrate the need, feasibility and acceptance of a peer assessment program of office practices in Ontario.
Notes
Cites: J Med Educ. 1977 Jul;52(7):578-81874991
Cites: Med Care. 1974 May;12(5):463-94828929
Cites: QRB Qual Rev Bull. 1978 Dec;4(12):11-4104229
Cites: Ann Intern Med. 1979 Jun;90(6):957-64443692
Cites: Clin Invest Med. 1979;2(2-3):113-21391459
Cites: Med Care. 1982 Aug;20(8):758-817050555
Cites: Med Care. 1984 Jul;22(7):632-436748781
Cites: Can Med Assoc J. 1984 Sep 15;131(6):557-616478338
Cites: N Engl J Med. 1985 Jan 17;312(3):181-33965939
Cites: N Engl J Med. 1985 Mar 21;312(12):784-53974653
Cites: N Engl J Med. 1985 Mar 21;312(12):801-43974661
Cites: Med Care. 1985 Jun;23(6):751-703892184
Cites: West J Med. 1976 Sep;125(3):241-52987652
Cites: N Engl J Med. 1985 Aug 8;313(6):390-14010761
Cites: N Engl J Med. 1985 Oct 31;313(18):1131-73930964
Cites: Med Care. 1986 Sep;24(9):838-473762247
Cites: JAMA. 1987 Feb 13;257(6):820-43806860
Cites: CMAJ. 1989 May 1;140(9):1035-432706590
Cites: Eval Health Prof. 1989 Dec;12(4):347-7810304098
Cites: JAMA. 1990 Apr 18;263(15):2041-22319662
Cites: JAMA. 1967 Sep 18;201(12):938-426072631
Cites: Pediatrics. 1972 Apr;49(4):547-525013417
Cites: N Engl J Med. 1973 Jun 21;288(25):1323-94706275