Of the many issues now confronting medical professionals, noneseems more perplexing than the debate about the quality of care.Just a few years ago, physicians could be confident that theyalone had a social mandate to judge and manage the quality ofcare. Now, that mandate is contested daily in industrial boardrooms,legislative-hearing rooms, and even medical-consultation rooms.The very language of current discussions about the quality ofcare leaves many physicians tongue-tied and uncomprehending:observed and expected mortality, outcomes and process measures,SF-36, case-mix and case-severity adjustments, profiles, HEDISmeasures, control charts, continuous quality improvement, totalquality management, . . . [Full Text of this Article]
A Series on the Quality of Care
Perspectives on the Quality of Care
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Massachusetts General Hospital Boston, MA 02114
Address reprint requests to Dr. Blumenthal at the Health Policy Research and Development Unit, Massachusetts General Hospital, 50 Staniford St., Boston, MA 02114.
References
Related Letters:
Series on the Quality of Health Care
Loftman B. A., Weinberg D., Stewart G. M., Friedman S. A., Greenwald M. S., Marciniak T. A., Golden W. E., Brasher R., Baker R., Lakhani M., Blumenthal D., Brook R. H., McGlynn E. A., Cleary P. D., Berwick D. M.
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N Engl J Med 1997;
336:804-807, Mar 13, 1997.
Correspondence
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