I completely disagree with these doctors criticisms of performance measurement. Our stroke doctors have proven the stupidity of assuming that they are working in stroke patients best interests.
1. No publicly available stroke protocols.
2. No strategy.
3. Nothing to fix spasticity.
4. Nothing to fix fatigue.
5. Nothing to prevent dementia.
6. Only 10% full recovery.
7. Only 12% full recovery with tPA use.
All these are complete failures and I see nothing that even looks like anyone is tackling these problems. Everyone in stroke seems to have their head completely buried up their ass.
If we were to factually measure their performance they would all receive an F and No pay.
The ethics of performance measurement
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