tag:blogger.com,1999:blog-4968787219619380438.post2411212824311170082..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: The Surgeon Scorecard: My analysisSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4968787219619380438.post-86266205244482833502015-08-14T07:23:17.803-04:002015-08-14T07:23:17.803-04:00A., all good points. Thanks.A., all good points. Thanks.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-9708121927162816972015-08-13T11:59:45.891-04:002015-08-13T11:59:45.891-04:00"Do you fix the leg which is broken completel..."Do you fix the leg which is broken completely?"<br /><br />Good catch. That is like the "Have you stopped beating your wife" question. <br /><br />You are correct that most surveys are not worded correctly. Here is one that I was asked: "What is your sexual preference?"<br /><br />I responded, "Two women..." That illustrates the absurdity of the question. BTW, almost all surveys with that question do NOT have an answer for "I do not have sex." (Sorry for this imagery, but the 77 year old catholic nun.)<br /><br />That also leads me to ask what is the criteria for judging physicians and who decides that criteria? Ask how a physician defines a good physician and a patient defines a good physician, and you will get two very different answers.<br /><br />If it is based on outcomes (evidence) then does extending a terminal patient's life by 6 months with tubes everywhere, pain, being comatose, qualify as a good outcome or allowing them to spend 2 weeks with family, say their goodbyes, and die with dignity at home constitute a good outcome? <br /><br />I would say it depends who you ask. <br /><br />So social media sites by patients are going to judge a physician differently than by an industry standard (written by physicians), which will be totally different than a government score (which is probably only looking at outcome and money spent). <br /><br />All measures are equally valid (assuming data integrity). It just depends on the searcher's definition of a good physician. Most likely they will take multiple criteria in to account.A. Banteringshttps://www.blogger.com/profile/05026455474056909739noreply@blogger.com