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ARTICLE |

Effects of Outcome on Physicians' Judgment of Appropriateness of Care

Robert A. Caplan, MD; Karen L. Posner, PhD; Frederick W. Cheney, MD
JAMA. 1991;266(6):794. doi:10.1001/jama.1991.03470060055013.
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ABSTRACT

In Reply.  —We wholeheartedly agree with Woods and Cook. Recognizing the presence and potential magnitude of outcome bias in physician judgments creates a healthy stimulus for improving the process of retrospective case review. Such improvements will benefit not only the patient and the physician, but also the much broader group of individuals and institutions who engage in the design, provision, and financing of health care.It is important—and exciting—to recognize that effective remedies may be close at hand. As Woods and Cook point out, some of the fundamental concepts and tools for managing outcome bias have already been explored in the literature of experimental psychology and human performance. The next logical step will be to determine whether this basic knowledge can be effectively adapted and extended to meet the specific needs of health care analysis.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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