Clinical audits and practice profiling have become popular tools in
the attempt to change physician behavior to improve quality of care.
Unfortunately, the growing need for information on quality of care has
often outpaced the development of standard, valid, and reliable
approaches to using these tools. The studies of performance measurement
published in the literature to date demonstrate varying impact on
ability to improve clinical care; few are randomized controlled trials.
While performance measurement has become a common practice, the science
surrounding this field is still in its early stages of development;
while it seems promising, it should be viewed as largely