Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing
- Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing
- Flanders SJ, Juneja R, Roudebush CP, Carroll J, Golas A, Elias BL
- Am J Med Qual
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Motivating physicians to increase productivity and maximizepatient satisfaction may result in conflicted behavior, raisingquestions about whether one must be sacrificed for the other.To determine if high satisfaction (measured by Press Ganey patientsatisfaction survey) can be achieved while maintaining highproductivity (measured in McGladrey relative value units, MRVU),longitudinal data collected from January 2002 to July 2004 weremodeled using repeated measures regression. A total of 136 000patient-completed satisfaction questionnaires evaluating 417physicians were collected for analysis. Patient confidence (positivelycorrelated; P = .001) and physician/patient time (inverselycorrelated; P = .001) were associated with higher physicianproductivity. Increases in MRVU were associated with decreasesin patient perceptions of time with the physician (P = .003).The relationships between patient satisfaction and physicianproductivity were relatively small, suggesting that they arenot necessarily incompatible and that both can be improved simultaneously.
Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing Flanders SJ, Juneja R, Roudebush CP, Carroll J, Golas A, Elias BL. Am J Med Qual 2009; 24(6):489-497.