Underlying the expectation that physicians, health plans, andother organizations will soon be competing on the basis of thequality as well as the cost of medical care1 is the fundamentalassumption that we know what quality is and how to measure it,monitor it, and ensure it. This is a proposition devoutly tobe wished, and one to which millions of dollars will be devoted.But how accurate is it?
A large industry is developing standards of quality againstwhich physicians and health care organizations will be judged.These standards, or practice guidelines, are based on existingcontrolled clinical . . . [Full Text of this Article]
References
Related Letters:
Appropriateness Studies
Black N., Park R. E., Brook R. H., Dubois R. W., Hall M. A., Phelps C. E., Kassirer J. P.
Extract |
Full Text
N Engl J Med 1994;
330:432-434, Feb 10, 1994.
Correspondence
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