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I guess the big question is to ask whether there is any value in the whole process/industry of physician measurement.
Is it proven to produce improvement in meaningful, long-term outcomes? Does it merely measure how good physicians are at being measured? Or does it actually drain away resources and intellectual capital such that outcomes are worsened?
I don't think we know.
And then one has to ask why physicians are so eager to be measured. Teachers fought it, unsuccssfully, and have watched their profession being destroyed. Lawyers. accountants, priests/ministers/rabbis, other professionals seem to have avoided it.
What are we hoping to achieve by submitting ourselves to this process?