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ARTICLE |

Are 'Indexes' an Index of Physician Performance?

Robert B. Howe, MD
Arch Intern Med. 1985;145(1):46. doi:10.1001/archinte.1985.00360010066007.
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In this issue of the Archives, Hansen and associates1 present data from a chart audit reflecting physician behavior in the interpretation of RBC indexes. The authors begin with the fact that patients having low mean RBC volumes and high RBC counts relative to those volumes will commonly be found to have thalassemic syndromes if properly examined. Physicians working in areas with large populations of patients from racial stock originating in the Mediterranean basin and large populations of black patients have had to concern themselves with this problem for years. Now the influx of refugees from Southeast Asia increases the numbers of persons at risk and distributes the problem to new regions of this country. Additionally, the need for cost control in medical care increases the incentive to make appropriate clinical decisions based on relatively inexpensive tests such as RBC indexes.

Since RBC indexes are routinely provided as part of

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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