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Problems for clinical judgement: 4. Surviving in the report card era

Jack V. Tu^*, Michael J. Schull^*, Lorraine E. Ferris, Janet E. Hux^* and Donald A. Redelmeier^*

From the *Department of Medicine, University of Toronto, Toronto, Ont.; the Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; the Departments of Health Administration and Public Health Sciences, University of Toronto, Toronto, Ont.; and the Institute for Clinical Evaluative Sciences, Toronto, Ont.

Abstract

HEALTH CARE REPORT CARDS INVOLVE COMPARISONS of health care systems, hospitals or clinicians on performance measures. They are going to be an important feature of medical care in Canada in the new millennium as patients demand more information about their medical care. Although many clinicians are aware of this growing trend, they may not be prepared for all of its implications. In this article, we provide some historical background on health care report cards and describe a number of strategies to help clinicians survive and thrive in the report card era. We offer a number of tips ranging from knowing your outcomes first to proactively getting involved in developing report cards.

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