Unsolicited Patient Complaints Identify Physicians with Evidence of Neurocognitive Disorders AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY Cooper, W. O., Martinez, W., Domenico, H. J., Callahan, S., Kirkby, B. P., Finlayson, A. R., Foster, J. J., Johnson, T. M., Longo, F. M., Merrill, D. G., Jacobs, M. L., Pichert, J. W., Catron, T. F., Moore, I. N., Webb, L. E., Karrass, J., Hickson, G. B. 2018; 26 (9): 927–36

Abstract

Determine whether words contained in unsolicited patient complaints differentiate physicians with and without neurocognitive disorders (NCD).We conducted a nested case-control study using data from 144 healthcare organizations that participate in the Patient Advocacy Reporting System program. Cases (physicians with probable or possible NCD) and two comparison groups of 60 physicians each (matched for age/sex and site/number of unsolicited patient complaints) were identified from 33,814 physicians practicing at study sites. We compared the frequency of words in patient complaints related to an NCD diagnostic domain between cases and our two comparison groups.Individual words were all statistically more likely to appear in patient complaints for cases (73% of cases had at least one such word) compared to age/sex matched (8%, p?

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