Measuring the Quality of Physician Practice by Using Clinical Vignettes: A Prospective Validation Study

Figure 1. 1 = simple case; 2 = complex case; COPD = chronic obstructive pulmonary disease; DM = diabetes mellitus; MCO = managed
care organization; MD = medical doctor (physician); SP = standardized patient; VAMC = Veterans Affairs medical center.
Planned study design showing sites and physician sample by level of training and clinical case for the 3 quality measurement
methods.
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Ann Intern Med
November 16, 2004
vol. 141
no. 10
771-780