Table 2 Physician Survey Responses (N = 142)
| Â | 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) | Â | Â |
"My attending was very involved in all important patient care decisions." | Â | Â | 23 (62) | 12 (39) |
"I allowed my residents considerable autonomy in patient care decisions." | 38 (100) | 35 (97) | Â | Â |
"My attending allowed me considerable autonomy in making patient care decisions." | Â | Â | 32 (86) | 29 (94) |
"My ward team provided extremely high quality care to our patients." | 37 (97) | 33 (92) | Â | Â |
"I provided extremely high quality care to my patients." | Â | Â | 33 (89) | 28 (90) |
FEELINGS ABOUT PROFILING | Â | Â | Â | Â |
"How do you think you would feel about being 'profiled?'?" OR "How did you feel about being 'profiled?"' | Â | Â | Â | Â |
Positive | 11 (29) | 6 (17) | Â | Â |
Indifferent | 10 (26) | 20 (56) | Â | Â |
Negative | 17 (45) | 10 (28)* | Â | Â |
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)* | Â | Â |
"In general, being 'profiled' will cause most physicians to decrease the ordering of some tests and/or procedures." | 17 (46) | 5 (14)* | Â | Â |
PROFILING EFFECT (QUESTIONS ASKED ONLY OF PHYSICIANS WHO WERE PROFILED) | Â | Â | Â | Â |
Reported that they tried "to become more involved than usual in the care of the patients on [their] service during their profiling month. | Â | 16 (46) | Â | Â |
Agreed that "being 'profiled' caused me to discharge some patients earlier than I would have normally." | Â | 0 (0) | Â | Â |
Agreed that "I sometimes felt pressured to discharge a patient from the hospital prematurely." | Â | 2 (6) | Â | Â |
"Did you try to decrease your patients' lengths' of stay?" Responded "Yes:" | Â | 5 (14) | Â | Â |
Agreed that "being 'profiled' caused me to decrease the ordering of some tests and/or procedures." | Â | 0 (0) | Â | Â |
Agreed that "I sometimes felt pressured not to use certain ancillary tests/services." | Â | 0 (0) | Â | Â |
"Did you try to decrease ordering of tests and procedures?" Responded "Yes:" | Â | 4 (11) | Â | Â |