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Volume 19 (4)
Volume 19, Issue 4, Fall 1999
J Contin Educ Health Prof 1999; 19(4):222-226
ORIGINAL ARTICLES
Measurement of the Outcome of Learning: Health Care Performance Measurement and Continuing Medical Education
Geoffrey M. Anderson, MD, PhD
A b s t r a c t
It is now possible to measure the quality of medical care accurately, and when systematic
measurement of health care system performance is undertaken, substantial deficits in
quality of care are found. Although there are some strategies for continuing medical education
(CME) that can change behavior and improve quality, much of current CME relies on
techniques known to be ineffective. Public release of information on performance in the form
of report cards is becoming more common, and will put increasing pressure on payers and
providers to improve quality of care. Unless CME can show it has a central role in quality
assurance, it faces being replaced by other models of performance improvement. However,
the performance measurement revolution also provides an opportunity for CME to gain recognition
and support. This will require providers of CME to work more closely with those who
measure performance. Providers of CME should focus on areas of practice that have undergone
performance measurement. They should also work with those who are developing report
cards, so that the timing and content of education are linked to the content and release of
report cards. If linked together rationally, performance measurement and continuing education
can become the basis for maintaining and improving quality of care.
Keywords: Continuing Medical Education; Performance Measurement; Quality of Care
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