There is an interesting article (“Unintended Consequences“) from February 2000 edition of the New England Journal of Medicine in which author Dr. Lawrence Casalino gives his view of how measuring physician quality impacts care. Dr. Casalino cites many unintended consequences of implementing an quality measuring system including 1) more paperwork, 2) the fact that certain quality measures will favor certain organizational frameworks, 3) the misallocation of physician time.
- Casalino (2000) “The Unintended Consequences of Measuring Quality on the Quality of Medical Care” NEJM, Volume 342, no. 7, pp. 519-520.