Eduardo Melguizo-Ibáñez, José Luis Ubago-Jiménez, Gabriel González-Valero, Georgian Badicu, Sameer Badri Al-Mhanna, Pilar Puertas-Molero
Study of the Effects of Physical-Activity Practice and Adherence to the Mediterranean Diet on Emotional Intelligence in Elementary School Education Students
Children (Basel, Switzerland)
physicians knowledge others quality central clinical decisionmaking information well understood rarely harnessed identify exemplars disseminating best practices quality improvement one exception chief medical resident selection typically based interpersonal teaching clinical skills compare care patients primary care physicians pcps former chiefs care patients nonchief pcps using 2010 2018 medicare feeforservice consumer assessment healthcare providers systems cahps survey data response rate 476 medicare claims random 20 samples feeforservice beneficiaries medical board data 4 large us states compared care patients former chief pcps care patients nonchief pcps practice using linear regression data analyzed august 2020 january 2023 receiving plurality primary care office visits former chief pcp composite 12 patient experience items primary outcome 4 spending utilization measures secondary outcomes cahps samples included 4493 patients former chief pcps 41 278 patients nonchief pcps 2 groups similar age mean sd 731 103 years vs 732 103 years sex 568 vs 568 female race ethnicity 12 vs 10 american indian alaska native 13 vs 19 asian pacific islander 48 vs 56 hispanic 73 vs 66 nonhispanic black 815 vs 800 nonhispanic white characteristics medicare claims random 20 samples included 289 728 patients former chief pcps 2 954 120 patients nonchief pcps patients former chief pcps rated care experiences significantly better patients nonchief pcps adjusted difference composite 16 percentage points 95 ci 0428 effect size 030 standard deviations sd physicianlevel distribution performance p 01 including markedly higher ratings physicianspecific communication interpersonal skills typically emphasized chief selection differences large patients racial ethnic minority groups 116 sd dualeligible patients 081 sd less education 044 sd vary significantly across groups differences spending utilization minimal overall study patients pcps former chief medical residents reported better care experiences patients pcps practice especially physicianspecific items study results suggest profession possesses information physician quality motivating development study strategies harnessing information select repurpose exemplars quality improvement