RT Journal
A1 Fenton JJ, Bertakis KD, Franks P
T1 Satisfied to death: A spurious result?—reply
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2012
FD July 23
VO 172
IS 14
SP 1110
OP 1114
DO 10.1001/archinternmed.2012.2562
UL http://dx.doi.org/10.1001/archinternmed.2012.2562
AB 
In the study by Sequist et al,1 for example, Friedberg et al emphasize a few positive correlations between patient experience measures (aggregated at the physician and practice level) and Health Plan Employer Data and Information Set (HEDIS) quality metrics. But most correlations in this study, particularly those related to physician care, were weak and nonsignificant. The study also lacked adjustment, which makes their criticism of our adjusted findings ironic. Indeed, our study adjusted not only for self-reported health but also for chronic conditions, prior expenditures, prescriptions, hospital, and office use. Far from underadjusted, our results may be overadjusted and therefore conservative.