Quality of Care in Patients with Diabetes

  1. Sheldon Greenfield, MD;
  2. Sherrie H. Kaplan, PhD, MPH; and
  3. Richard Kahn, PhD
  1. Tufts University School of Medicine; Boston, MA 02111 (Greenfield, Kaplan) American Diabetes Association; Alexandria, VA 22311 (Kahn)

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    IN RESPONSE:

    Mahadevia and associates underscore the importance of understanding the central point of our paper, that is, that variation between physicians (physician-level clustering) can limit the power of studies comparing any groups of physicians (for example, fee-for-service vs. managed care settings or high-quality vs. low-quality practice settings). …

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