Surgeon-level reporting presented by funnel plot is understood by doctors but inaccurately interpreted by members of the public.

作者: Ashish Bhalla , Prerna Mehrotra , Falah Amawi , Jonathan N. Lund

DOI: 10.1016/J.JSURG.2014.12.003

关键词: Completion rateSignificant differenceOutcome (game theory)PresentationAlternative methodsFamily medicineTransparency (graphic)Identification (information)Operations researchMedicineFunnel plot

摘要: Introduction Risk-adjusted outcome data for general surgeons practicing in the United Kingdom were published first time 2013 with aim of increasing transparency, improving standards, and providing public information to aid decision making. Most specialties used funnel plots present their data. We assess ability members (MoP), medical students, nonsurgical doctors (NSD), understand risk-adjusted surgical Material Methods A fictitious dataset was created presented form a plot 10 participants from each aforementioned group. Standard explanatory text provided. Each participant given 5 minutes review complete questionnaire. For question, there only 1 correct answer. Results Completion rate 100% ( n = 40). No difference existed between NSD surgeons. significant identification "worst performing surgeon" noted MoP (p Conclusions found these significantly more "difficult understand" less likely both spot "outliers" use this inform decisions than doctors. Surgeons should be aware that may require an alternative method presentation understood by MoP.

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