Measuring Deception: Test-Retest Reliability of Physicians’ Self-Reported Manipulation of Reimbursement Rules for Patients  

Oleh:

VanGeest, Jonathan B. ; Wynia, Matthew K. ; Cummins, Deborah S. ; Wilson, Ira B.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Care Research and Review vol. 59 no. 2 (Jun. 2002), page 184-196.
Topik: test-retest reliability of physicians; reporting signs or symptoms
Fulltext: 184MCR59.2.pdf (69.16KB)

Isi artikel

This study examined the test-retest reliability of physicians’ self-reported manipulation of reimbursement rules for patients. The test-retest reliability of self-report of three specific tactics were examined: (1) exaggerating the severity of patients’ conditions, (2) changing a patient’s official (billing) diagnosis, and (3) reporting signs or symptoms that patients did not have. The reliability of a scaled summary measure of physicians’manipulation of reimbursement rules was also assessed. Overall, the authors found high levels of test-retest agreement across all three items and the summary measure. These findings suggest that self-report can be used to produce reliable data on this controversial issue. Specifically, the three items reported here can be used to produce a reliable summary measure of physicians’ manipulation of reimbursement rules to help patients obtain care that physicians perceive as necessary.

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